Provider Demographics
NPI:1932263514
Name:DAVID, AARON (DO)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:DAVID
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 SUNRISE HWY
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-6021
Mailing Address - Country:US
Mailing Address - Phone:631-422-2424
Mailing Address - Fax:631-422-8139
Practice Address - Street 1:475 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-6021
Practice Address - Country:US
Practice Address - Phone:631-422-2424
Practice Address - Fax:631-422-8139
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY149064207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00904178Medicaid
NY00904178Medicaid
NYC12112Medicare UPIN