David R Dorf, M.D.
Individual provider Active NPI Specialist · Garnerville, NY
NPI 1124034152 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124034152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 145410 (NY)
- Practice address
- 171 Ramapo Rd
Garnerville, NY 10923-1552 - Phone
- (845) 947-1422
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110322000605 | NY | Practitioner - Internal Medicine | 5597948950 | Practice locations: Garnerville, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 145410 | NY | Yes |
Addresses
Primary practice location
171 Ramapo Rd
Garnerville, NY 10923-1552
Mailing address
171 Ramapo Rd
Garnerville, NY 10923-1552
Phone (845) 947-1422
Other providers in Garnerville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.