Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 301965 | NY |
N | 111NI0900X | Internist | 301965 | NY |
N | 207R00000X | Internist | L-247883 | MA |
N | 111NI0900X | Internist | L-247883 | MA |
Y | 207RX0202X | Medical Oncology | 301965 | NY |
NPI | 1104107622 |
---|---|
Provider Name | Benjamin Izar |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3729 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2011 |
Last Update Date | 17/01/2020 |