David C Ly, PA-C
Physician Assistant, Medical in Bridgeport, Connecticut
1982954913- Practice location
- 267 Grant St, Bridgeport, CT 06610
- Phone
- 203-284-3000
- Fax
- —
- Last updated
- June 16, 2021
David C Ly is a Physician Assistant, Medical based in Bridgeport, CT. David C Ly practices in Bridgeport, CT and has the professional credentials of PA-C. The NPI Number for David C Ly is 1982954913 and holds a License No. 020734 (NY). The current practice location address for David C Ly is 267 Grant St, Bridgeport, CT 06610 and can be reached out via phone at 203-284-3000.
Provider Profile Details
- NPI Number
- 1982954913
- Provider Name
- David C Ly
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 267 Grant St, Bridgeport, CT 06610
- Phone Number
- 203-284-3000
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 18, 2012
- Last Update Date
- June 16, 2021
- Certification Date
- June 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 267 Grant St
Bridgeport, CT 06610 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06610
- Phone Number
- 203-284-3000
Provider Business Mailing Address Details
- Address
- 16 Allen Pl
New Haven, CT 06512-1805 - City
- New Haven
- State
- CT
- Zip
- 06512-1805
- Phone Number
- 714-623-5917
License Information
- License Number (1)
- 020734
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA61060288
- License State (2)
- WA
- Taxonomy (2)
- Physician Assistant · 363A00000X
- License Number (3)
- 2793
- License State (3)
- CT
- Taxonomy (3)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of David C Ly, PA-C?
The NPI number of David C Ly, PA-C is 1982954913. It was assigned on September 18, 2012 and is currently active in the NPPES registry.
What is the specialty of David C Ly, PA-C?
David C Ly, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in NY under license number 020734.
Where does David C Ly, PA-C practice?
The practice location is 267 Grant St, Bridgeport, CT 06610. The office can be reached at 203-284-3000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982954913 directly on the NPPES registry website.