Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | X011674 | NY |
NPI | 1134360373 |
---|---|
Provider Name | Alex Zilberman |
First Address | Brooklyn, NY 11235-2004 |
Second Address | Brooklyn, NY 11229-5448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2009 |
Last Update Date | 19/03/2010 |