Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 305747 | NY |
N | 208800000X | Urologist | 125059078 | IL |
NPI | 1558641761 |
---|---|
Provider Name | Ali Aria Razmaria |
First Address | New York, NY 10044-0220 |
Second Address | New York, NY 10065-6007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2011 |
Last Update Date | 09/09/2020 |