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Contact Information

DAVID PODWALL, MD
1991 MARCUS AVENUE
SUITE 110
LAKE SUCCESS, NY11042-2057
 Phone: 516-466-4700
 Fax: 516-466-4810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for DAVID PODWALL · (Male)

NPI # 1124072418
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2006
Last updated 03/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 218672
  • NY License # 218672-1
Hospital affiliation(s)
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST FRANCIS HOSPITAL ROSLYN - (Acute Care)
    100 PORT WASHINGTON BOULEVARD
    ROSLYN, NY 11576
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.

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