Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 312606 | NY |
N | 207VX0000X | Obstetrician | MD2004-0323 | NM |
NPI | 1225123409 |
---|---|
Provider Name | Bruno J Caridi |
First Address | New York, NY 10029-6501 |
Second Address | New York, NY 10029-6501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 01/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I25747 | (02) |