Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 204011 | NY |
Y | 207WX0107X | Retina Specialist | 204011 | NY |
NPI | 1073629994 |
---|---|
Provider Name | Aryeh L. Pollack |
First Address | Brooklyn, NY 11219-2740 |
Second Address | Brooklyn, NY 11219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 10/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H34030 | (02) | NY |