Provider Demographics
NPI:1679553440
Name:BRESLIN, DAVID S (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:BRESLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CARE MOUNT MEDICAL PC
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2570
Mailing Address - Country:US
Mailing Address - Phone:914-739-2121
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:1978 CROMPOND RD
Practice Address - Street 2:CARE MOUNT MEDICAL PC
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4111
Practice Address - Country:US
Practice Address - Phone:914-739-2121
Practice Address - Fax:914-242-1516
Is Sole Proprietor?:No
Enumeration Date:2006-01-18
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY176619208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY-1586941Medicaid
NY-1586941Medicaid
NYDB005T0010Medicare PIN
NYA400061212Medicare PIN