Provider Demographics
NPI:1538223219
Name:ENDRES, DAVID M (MSPT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:ENDRES
Suffix:
Gender:M
Credentials:MSPT
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Mailing Address - Street 1:22 W 77TH ST
Mailing Address - Street 2:APT 46
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5151
Mailing Address - Country:US
Mailing Address - Phone:917-601-5558
Mailing Address - Fax:212-829-1189
Practice Address - Street 1:120 E 56TH ST
Practice Address - Street 2:SUITE 1010
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3607
Practice Address - Country:US
Practice Address - Phone:212-759-2211
Practice Address - Fax:212-829-1189
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0176462251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ45241Medicare ID - Type UnspecifiedPHYSICAL THERAPY