Provider Demographics
NPI:1134212400
Name:SLAVIT, DAVID HAL (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:HAL
Last Name:SLAVIT
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 1:785 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3552
Mailing Address - Country:US
Mailing Address - Phone:212-517-9177
Mailing Address - Fax:212-517-9109
Practice Address - Street 1:785 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3552
Practice Address - Country:US
Practice Address - Phone:212-517-9177
Practice Address - Fax:212-517-9109
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185825207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY97F522Medicare ID - Type Unspecified
F36262Medicare UPIN