Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 243244 | NY |
N | 2084N0600X | Clinical Neurophysiologist | 243244 | NY |
NPI | 1043429442 |
---|---|
Provider Name | Abdelhakim Dinar |
First Address | Albany, NY 12212-4890 |
Second Address | Latham, NY 12110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 11/05/2021 |