Provider Demographics
NPI:1245494806
Name:ERSTEIN, DAVID PHILLIP (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:PHILLIP
Last Name:ERSTEIN
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 1:885 PARK AVE OFC 1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0383
Mailing Address - Country:US
Mailing Address - Phone:347-612-4866
Mailing Address - Fax:347-868-6262
Practice Address - Street 1:885 PARK AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0325
Practice Address - Country:US
Practice Address - Phone:347-612-4866
Practice Address - Fax:347-868-6262
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250860207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology