Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 243537 | NY |
N | 111NI0900X | Internist | 243537 | NY |
N | 208000000X | Pediatrician | 243537 | NY |
NPI | 1003937889 |
---|---|
Provider Name | Amarpreet S Bains |
First Address | Middletown, NY 10941-4028 |
Second Address | Middletown, NY 10941-4028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 20/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02863803 | (05) | NY |
I74467 | (02) | NY |