Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 192247 | NY |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 192247 | NY |
Y | 207RI0011X | Interventional Cardiology | 192247 | NY |
NPI | 1124070925 |
---|---|
Provider Name | Afzal Ur Rehman |
First Address | Binghamton, NY 13905 |
Second Address | Johnson City, NY 13790-2176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 17/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01857501 | (05) | NY |
F51844 | (02) |