MEDICARE: DR. DAVID HARRIS DELMAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	164099	NY

General Provider Information

NPI Number	:	1033262225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID HARRIS DELMAN M.D.

Provider Business Mailing Address
First Line	:	2132 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5406
Country	:	US
Telephone Number	:	718-763-1400
Fax Number	:	718-763-6967

Provider Business Practice Location Address
First Line	:	2132 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5406
Country	:	US
Telephone Number	:	718-763-1400
Fax Number	:	718-763-6967

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	10/08/2012

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