Basic Information
Provider Information
NPI: 1083869424
EntityType: 2
ReplacementNPI:  
OrganizationName: DAVID H COLE, MD PC
LastName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 245 E 13TH ST
Address2: OFFICE #7
City: NEW YORK
State: NY
PostalCode: 100035641
CountryCode: US
TelephoneNumber: 9174389115
FaxNumber: 9174389115
Practice Location
Address1: 245 E 13TH ST
Address2: OFFICE #7
City: NEW YORK
State: NY
PostalCode: 100035641
CountryCode: US
TelephoneNumber: 9174389115
FaxNumber: 9174389115
Other Information
ProviderEnumerationDate: 11/26/2008
LastUpdateDate: 11/26/2008
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: COLE
AuthorizedOfficialFirstName: DAVID
AuthorizedOfficialMiddleName: H
AuthorizedOfficialTitleorPosition: PSYCHIATRIST
AuthorizedOfficialTelephone: 9174389115
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800X238789NYY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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