Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 053058 | CT |
Y | 207RH0003X | Hematology & Oncology | 053058 | CT |
N | 207RX0202X | Medical Oncology | 053058 | CT |
NPI | 1083819528 |
---|---|
Provider Name | Amer Zeidan |
First Address | Rochester, NY 14621-3001 |
Second Address | New Haven, CT 06510-3206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 18/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02892919 | (05) | NY |