Provider Demographics
NPI:1245305333
Name:DAVID O VOLPI MD PC
Entity type:Organization
Organization Name:DAVID O VOLPI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:O
Authorized Official - Last Name:VOLPI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-873-6036
Mailing Address - Street 1:262 CENTRAL PARK W
Mailing Address - Street 2:SUITE 1H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3512
Mailing Address - Country:US
Mailing Address - Phone:212-873-6036
Mailing Address - Fax:212-873-6169
Practice Address - Street 1:262 CENTRAL PARK W
Practice Address - Street 2:SUITE 1H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3512
Practice Address - Country:US
Practice Address - Phone:212-873-6036
Practice Address - Fax:212-873-6169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY159722207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN30270OtherPHS HEALTHNET
NY0024173OtherGHI
NYNS434OtherOXFORD HEALTH PLANS
NY35D111OtherEMPIRE BCBS
NYNS434OtherOXFORD HEALTH PLANS
NY35D111Medicare ID - Type UnspecifiedMEDICARE