Basic Information
Provider Information
NPI: 1982045712
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KALFA
FirstName: DAVID
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 27036
Address2:  
City: NEW YORK
State: NY
PostalCode: 100877036
CountryCode: US
TelephoneNumber: 2123423892
FaxNumber: 2123425262
Practice Location
Address1: 177 FORT WASHINGTON AVE
Address2: MHB 7GN-435
City: NEW YORK
State: NY
PostalCode: 100323733
CountryCode: US
TelephoneNumber: 2123423892
FaxNumber: 2123425262
Other Information
ProviderEnumerationDate: 07/09/2013
LastUpdateDate: 12/06/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208G00000X271118NYY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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