Healthcare Provider Details

I. General information

NPI: 1043429483
Provider Name (Legal Business Name): DAVID O VOLPI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 10/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 CENTRAL PARK W # 1H
NEW YORK NY
10024-3512
US

IV. Provider business mailing address

262 CENTRAL PARK W # 1H
NEW YORK NY
10024-3512
US

V. Phone/Fax

Practice location:
  • Phone: 212-873-6036
  • Fax: 212-873-6169
Mailing address:
  • Phone: 212-873-6036
  • Fax: 212-873-6169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number159722
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: