David B Park (NPI# 1588837330, PAC ID# 7214068410) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1588837330 |
| PAC ID by PECOS | 7214068410 |
| Professional Enrollment ID | I20100726000572 |
| Full Name | David B Park |
| Organization Legal Name | LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP |
| Address |
301 W Main St Sayville NY 11782-2523 |
| Phone Number | 6315677900 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Group Practice PAC ID | 7911002076 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 301 W Main St, Sayville, NY 11782-2523 | 6315677900 | LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP |
| 260 Middle Country Rd, Bldg 2 Suite 12, Selden, NY 11784-2570 | 6316969752 | LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP |
| Organization Legal Name | LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua E Gish | Maxillofacial Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Bldg 2 Suite 12, Selden, NY 11784-2570 |
| Steven B Schwartz | Maxillofacial Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Bldg 2 Suite 12, Selden, NY 11784-2570 |
| Mario Capuano | Maxillofacial Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Bldg 2 Suite 12, Selden, NY 11784-2570 |
| Susan K Snyder | Oral Surgery | Long Island Oral and Maxillofacial Surgery Associates LLP | 260 Middle Country Rd, Selden, NY 11784-2570 |
| Street Address |
301 W MAIN ST |
| City | SAYVILLE |
| State | NY |
| Zip | 11782-2523 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla S Hamand | Clinical Social Worker | 301 W Main St, Kasson, MN 55944-1139 | |
| Ashlin Underwood | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Melissa Dawn Holton | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Isabel Mendoza | Family Medicine | Genesis Healthcare, Inc. | 301 W Main St, Lamar, SC 29069-7102 |
| Kathi A Harper | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Michael W Barrett | Family Medicine | Genesis Healthcare, Inc. | 301 W Main St, Lamar, SC 29069-7102 |
| Julie Simpson | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Kristine L Braker | Nurse Practitioner | Prairie Ridge Health Inc. | 301 W Main St, Marshall, WI 53559-9129 |
| Jill Paulette Smith | Physician Assistant | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Shelley Neblett | Nurse Practitioner | Fast Pace Medical Clinic Pllc | 301 W Main St, Waverly, TN 37185-1512 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald C Sinagra | Chiropractic | 4844 Sunrise Hwy, Sayville, NY 11782-1011 | |
| Frank M Gomez Jr. | Chiropractic | 4844 Sunrise Hwy, Sayville, NY 11782-1011 | |
| James Dinovis | Podiatry | 1 Neel Ct, Suite A, Sayville, NY 11782-1370 | |
| Thomas Furci | Podiatry | 43 Broadway Ave, Sayville, NY 11782-1601 | |
| Harold L Mcallister | Clinical Social Worker | Senior Living Behavioral Health Lcsw Pllc | 129 Lakeland Ave, Sayville, NY 11782-1992 |
| Joann Vitanza | Clinical Social Worker | 3 Regina Dr, Sayville, NY 11782-2401 | |
| John T Pojero Jr. | Chiropractic | 153 Main St, Sayville, NY 11782-2503 | |
| Nadine M. Wilches | Clinical Social Worker | 196 N Main St, Fl 2, Sayville, NY 11782-2510 | |
| Nancy J Westgate | Clinical Social Worker | 53 Main St, Unit 2, Sayville, NY 11782-2518 | |
| Alfonso Tan | Internal Medicine | 297 W Main St, Sayville, NY 11782-2523 | |
| Find all physicians in zip 11782 | |||
| City | SAYVILLE |
| Zip Code | 11782 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | SAYVILLE + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on David B Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.