Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 206995 | NY |
NPI | 1023105608 |
---|---|
Provider Name | Abha Amin |
First Address | Hawthorne, NY 10532-2140 |
Second Address | Valhalla, NY 10595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 23/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01788792 | (05) | NY |
G25030 | (02) | NY |