Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 259884 | NY |
N | 207QS0010X | Family Doctor - Sports Medicine | 259884 | NY |
NPI | 1235308784 |
---|---|
Provider Name | Ajay Narendra Kiri |
First Address | Bronx, NY 10465-2026 |
Second Address | Bronx, NY 10465-2026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 07/07/2014 |