Provider Demographics
NPI:1538366307
Name:COLE, DAVID HARRIS (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HARRIS
Last Name:COLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:245 E 13TH ST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-5641
Mailing Address - Country:US
Mailing Address - Phone:212-305-3090
Mailing Address - Fax:212-305-4724
Practice Address - Street 1:245 E 13TH ST
Practice Address - Street 2:SUITE 107
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-5641
Practice Address - Country:US
Practice Address - Phone:917-438-9115
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238789-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry