MEDICARE: DR. DAVID VOLKMAN 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	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	163507	NY

General Provider Information

NPI Number	:	1942352265
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID VOLKMAN M.D.

Provider Business Mailing Address
First Line	:	4 RIVER HOLLOW RD
Second Line	:
City	:	SAINT JAMES
State	:	NY
Zip	:	11780-4104
Country	:	US
Telephone Number	:	631-862-6398
Fax Number	:	631-862-6561

Provider Business Practice Location Address
First Line	:	4 RIVER HOLLOW RD
Second Line	:
City	:	SAINT JAMES
State	:	NY
Zip	:	11780-4104
Country	:	US
Telephone Number	:	631-862-6398
Fax Number	:	631-862-6561

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

Provider Enumeration Date	:	01/17/2007
Last Update Date	:	07/08/2007

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