Provider Demographics
NPI:1255824967
Name:ARCHBOLD, DAMIEN (MBCHB)
Entity type:Individual
Prefix:DR
First Name:DAMIEN
Middle Name:
Last Name:ARCHBOLD
Suffix:
Gender:M
Credentials:MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ACADEMIC TRAINING DEPARTMENT, HOSP FOR SPECIAL SURGERY
Mailing Address - Street 2:535 EAST 70TH STREET
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-774-2302
Mailing Address - Fax:
Practice Address - Street 1:ACADEMIC TRAINING DEPARTMENT, HOSP FOR SPECIAL SURGERY
Practice Address - Street 2:535 EAST 70TH STREET
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-774-2302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2018-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTBA207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology