Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 268717 | NY |
Y | 207RP1001X | Pulmonary Disease | 268717 | NY |
NPI | 1013298629 |
---|---|
Provider Name | Amit Chopra |
First Address | Albany, NY 12590 |
Second Address | Albany, NY 12208-3412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2011 |
Last Update Date | 03/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03601856 | (05) | NY |