Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 119657 | NY |
NPI | 1720144009 |
---|---|
Provider Name | Barton Inkeles |
First Address | New York, NY 10021-5902 |
Second Address | New York, NY 10021-5902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 28/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00224626 | (05) | NY |
B12814 | (02) |