Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 116342 | NY |
NPI | 1033117999 |
---|---|
Provider Name | Arnold S Prywes |
First Address | Garden City, NY 11530-2124 |
Second Address | Bethpage, NY 11714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 17/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B12824 | (02) | NY |