Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 251631 | NY |
NPI | 1184864738 |
---|---|
Provider Name | Anita K Pillai |
First Address | New Hyde Park, NY 11040-2332 |
Second Address | New Hyde Park, NY 11040-2332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2009 |
Last Update Date | 23/02/2009 |