Provider Demographics
NPI:1750777298
Name:APATOV, DAVID ALEXANDER (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALEXANDER
Last Name:APATOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 PARK AVE
Mailing Address - Street 2:APARTMENT 7C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1735
Mailing Address - Country:US
Mailing Address - Phone:678-575-1947
Mailing Address - Fax:
Practice Address - Street 1:1245 PARK AVE
Practice Address - Street 2:APARTMENT 7C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1735
Practice Address - Country:US
Practice Address - Phone:678-575-1947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-11
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA84978207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology