Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 123405 | NY |
NPI | 1023198678 |
---|---|
Provider Name | Avraham D Merav |
First Address | Sleepy Hollow, NY 10591-1020 |
Second Address | Sleepy Hollow, NY 10591-1020 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 03/04/2012 |