Provider Demographics
NPI:1457417396
Name:DAVID, LUMINITA M (MD)
Entity Type:Individual
Prefix:
First Name:LUMINITA
Middle Name:M
Last Name:DAVID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6937 INGRAM ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5833
Mailing Address - Country:US
Mailing Address - Phone:914-964-4056
Mailing Address - Fax:914-964-4044
Practice Address - Street 1:MMG - CROSS COUNTY
Practice Address - Street 2:1010 CENTRAL PARK AVENUE
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704
Practice Address - Country:US
Practice Address - Phone:914-964-4056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147082208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics