David Nathan, D.D.S

NPI 1437240223 · on the registry since 2006 · sole proprietor

Practice

Address: 3 Medical Dr
Suite D
Port Jefferson Station, NY 11776
Phone: (631) 928-7500
Fax: (631) 928-7501
Organisation at this address: Theodore Randolph,Dpm
Victoria E. Shack, Dds, Pc
Leanne M Molia, M.D., P.C.
M. H. Mandelbaum Orthotic & Prosthetic Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York