Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 283647 | NY |
NPI | 1154664860 |
---|---|
Provider Name | Alexander Ritter |
First Address | New York, NY 10003-3105 |
Second Address | Middletown, NY 10940-2650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 04/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04768829 | (05) | NY |