Provider Demographics
NPI:1770538381
Name:CORWIN, DAVID MURRAY (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MURRAY
Last Name:CORWIN
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 1:265 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3310
Mailing Address - Country:US
Mailing Address - Phone:646-596-5202
Mailing Address - Fax:929-999-5726
Practice Address - Street 1:1155 PARK AVE STE B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1209
Practice Address - Country:US
Practice Address - Phone:646-596-5202
Practice Address - Fax:929-999-5726
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA043361002084P0800X, 2084P0805X
NY1365592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC05878Medicare UPIN