Healthcare Provider Details

I. General information

NPI: 1871636373
Provider Name (Legal Business Name): DAVID E HURWITZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CENTRAL PARK WEST
NEW YORK NY
10023-4250
US

IV. Provider business mailing address

101 CENTRAL PARK WEST
NEW YORK NY
10023-4250
US

V. Phone/Fax

Practice location:
  • Phone: 212-580-1444
  • Fax: 212-580-5167
Mailing address:
  • Phone: 212-580-1444
  • Fax: 212-580-5167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number028743-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: