MEDICARE: DAVID KRUMHOLZ MD

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	207R00000X	Internal Medicine Physician	151088	NY

General Provider Information

NPI Number	:	1205914405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID KRUMHOLZ MD

Provider Business Mailing Address
First Line	:	110 50 71 RD
Second Line	:	FOREST HILLS
City	:	NEW YORK
State	:	NY
Zip	:	11375
Country	:	US
Telephone Number	:	718-268-1112
Fax Number	:	718-268-1113

Provider Business Practice Location Address
First Line	:	110 50 71 RD
Second Line	:	FOREST HILLS
City	:	NEW YORK
State	:	NY
Zip	:	11375
Country	:	US
Telephone Number	:	718-268-1112
Fax Number	:	718-268-1113

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	10/22/2012

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