Healthcare Provider Details

I. General information

NPI: 1891795787
Provider Name (Legal Business Name): DAVID L KAMELHAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 PARK AVE S SUITE 701
NEW YORK NY
10016-8404
US

IV. Provider business mailing address

404 PARK AVE S STE 701
NEW YORK NY
10016-8404
US

V. Phone/Fax

Practice location:
  • Phone: 212-685-6611
  • Fax: 212-685-6626
Mailing address:
  • Phone: 212-685-6611
  • Fax: 212-685-6626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number126062
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: