David Champlin
Individual provider Active NPI Physician Assistant · Maspeth, NY
NPI 1861968034 · NPPES record last updated Oct 15, 2018
Key facts
- NPI
- 1861968034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 022770 (NY)
- Practice address
- 7301 Grand Ave
Maspeth, NY 11378-1523 - Phone
- (718) 457-5900
- NPI assigned
- Oct 15, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022770 | NY | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 022770 | NY | Yes |
Addresses
Primary practice location
7301 Grand Ave
Maspeth, NY 11378-1523
Mailing address
5902 60TH St
Maspeth, NY 11378-3234
Other providers in Maspeth, NY
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- John Anthony Casey
- Connie Jasmine Castro
- Cerebral Harmony LLC
- Chadderwala Medical PC
- Winnie Chan
- Zoey Chen
- Jee Yoon Chong
- Kenneth Chung
- Kristal Cianca
All providers in Maspeth, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.