Healthcare Provider Details

I. General information

NPI: 1073812038
Provider Name (Legal Business Name): DAVID MICHAEL PINTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14001 JEWEL AVE APT 2
FLUSHING NY
11367
US

IV. Provider business mailing address

268 MORRIS AVE
INWOOD NY
11096-2016
US

V. Phone/Fax

Practice location:
  • Phone: 718-309-3202
  • Fax:
Mailing address:
  • Phone: 718-309-3202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number60-260332
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number60-260332
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number60-260332
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: