Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 921 | NY |
NPI | 1336629252 |
---|---|
Provider Name | Ariel Baradarian |
First Address | Forest Hills, NY 11375-4670 |
Second Address | Forest Hills, NY 11375-4670 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2018 |
Last Update Date | 20/08/2018 |