Provider Demographics
NPI:1023142056
Name:LUDWIG, DAVID STEVEN (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:STEVEN
Last Name:LUDWIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 E 74TH ST
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2654
Mailing Address - Country:US
Mailing Address - Phone:212-472-8019
Mailing Address - Fax:212-472-2705
Practice Address - Street 1:20 E 74TH ST
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2654
Practice Address - Country:US
Practice Address - Phone:212-472-8019
Practice Address - Fax:212-472-2705
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1432182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
06D761Medicare ID - Type Unspecified
A98618Medicare UPIN