MEDICARE: DAVID A STAFFENBERG 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	208200000X	Plastic Surgery Physician	185637	NY

General Provider Information

NPI Number	:	1326121419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A STAFFENBERG MD

Provider Business Mailing Address
First Line	:	305 E 33RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-9401
Country	:	US
Telephone Number	:	212-263-3030
Fax Number	:	212-263-8492

Provider Business Practice Location Address
First Line	:	305 E 33RD ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-9401
Country	:	US
Telephone Number	:	212-263-3030
Fax Number	:	212-263-8492

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	04/02/2021

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