Provider Demographics
NPI:1265729115
Name:WHITEHEAD, DAVID M (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:WHITEHEAD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1991 MARCUS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:NORTH NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2062
Mailing Address - Country:US
Mailing Address - Phone:516-497-7900
Mailing Address - Fax:516-497-7920
Practice Address - Street 1:1991 MARCUS AVE STE 102
Practice Address - Street 2:
Practice Address - City:NORTH NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042
Practice Address - Country:US
Practice Address - Phone:516-497-7900
Practice Address - Fax:516-497-7920
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2019-10-25
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Provider Licenses
StateLicense IDTaxonomies
NY2763702086S0105X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand