Provider Demographics
NPI:1952399479
Name:SKORTON, DAVID J (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:J
Last Name:SKORTON
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 1:300 DAY HALL
Mailing Address - Street 2:CORNELL UNIVERSITY
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14853
Mailing Address - Country:US
Mailing Address - Phone:607-255-5201
Mailing Address - Fax:607-255-9924
Practice Address - Street 1:525 E 68TH STREET
Practice Address - Street 2:NEW YORK PRESBYTERIAN/WEILL CORNELL MEDICAL CENTER
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:10065-1009
Practice Address - Country:US
Practice Address - Phone:212-746-4007
Practice Address - Fax:212-746-8214
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY246935207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease