National Provider Identifier Database

DAVID B SOUTHREN, MD – NPI #1770502031
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

DAVID B SOUTHREN, MD
206 ROUTE 303
VALLEY COTTAGE, NY10989-2019
Phone: 845-268-0880
Fax: 845-268-0882
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for DAVID B SOUTHREN

NPI Number 1770502031
Credentials MD
Entity Individual
Enumeration date 07/18/2006
Last updated 07/03/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 163321-1
  • NY Medicaid: 01097649
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DAVID B SOUTHREN, MD

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