Provider Demographics
NPI:1124091848
Name:BELL, DAVID
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15818 RIVERSIDE DR W
Mailing Address - Street 2:6A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1022
Mailing Address - Country:US
Mailing Address - Phone:212-927-5792
Mailing Address - Fax:
Practice Address - Street 1:COLOUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
Practice Address - Street 2:3959 BROADWAY
Practice Address - City:NEW YOR
Practice Address - State:NC
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-927-3214
Practice Address - Fax:212-544-1974
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188204208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01797671Medicaid
NY01797671Medicaid
NYG62061Medicare UPIN