Provider Demographics
NPI:1023231487
Name:ORES, DAVID JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSEPH
Last Name:ORES
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 1:189 E 2ND ST
Mailing Address - Street 2:MEDICAL OFFICE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-7069
Mailing Address - Country:US
Mailing Address - Phone:212-353-3020
Mailing Address - Fax:646-349-5328
Practice Address - Street 1:189 E 2ND ST
Practice Address - Street 2:MEDICAL OFFICE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-7069
Practice Address - Country:US
Practice Address - Phone:212-353-3020
Practice Address - Fax:646-349-5328
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176531174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist