MEDICARE: DAVID O VOLPI MD PC

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	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	159722	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	N30270	OTHER	NY	PHS HEALTHNET
2	0024173	OTHER	NY	GHI
3	NS434	OTHER	NY	OXFORD HEALTH PLANS
4	35D111	OTHER	NY	EMPIRE BCBS

General Provider Information

NPI Number	:	1245305333
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID O VOLPI MD PC

Provider Business Mailing Address
First Line	:	262 CENTRAL PARK W
Second Line	:	SUITE 1H
City	:	NEW YORK
State	:	NY
Zip	:	10024-3512
Country	:	US
Telephone Number	:	212-873-6036
Fax Number	:	212-873-6169

Provider Business Practice Location Address
First Line	:	262 CENTRAL PARK W
Second Line	:	SUITE 1H
City	:	NEW YORK
State	:	NY
Zip	:	10024-3512
Country	:	US
Telephone Number	:	212-873-6036
Fax Number	:	212-873-6169

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID O VOLPI
Credential	:	M.D.
Telephone Number	:	212-873-6036

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	10/24/2012

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Directions to “DAVID O VOLPI MD PC ” Practice Location

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