David Lichtenstein Physician PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

160524-1 Issued in NY

Legal business name

DAVID LICHTENSTEIN PHYSICIAN PC

Practice address

431 Beach 129 Street
Belle Harbor, NY 11694-1516

Phone

(718) 318-3434

Fax

(718) 318-3723

NPI assigned

Oct 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Ira Lichtenstein, M.D.

Title

President

Phone

(718) 318-3434

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1942383401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 BEACH 129 STREET",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941516",
            "telephone_number": "718-318-3434",
            "fax_number": "718-318-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 BEACH 129 STREET",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941516",
            "telephone_number": "718-318-3434",
            "fax_number": "718-318-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID LICHTENSTEIN PHYSICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "LICHTENSTEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-318-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "160524-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marina A Daniello, LMHC
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• Kathleen Diffendale, RN
• Shannon Taylor Dinerman

• Internal Medicine Physician in Belle Harbor, NY
• Providers in Belle Harbor, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.