Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 143253 | NY |
Y | 207RX0202X | Medical Oncology | 143253 | NY |
NPI | 1104825710 |
---|---|
Provider Name | Carl D Atkins |
First Address | Hudson, NY 12534-2907 |
Second Address | Hudson, NY 12534-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00861087 | (05) | NY |
C06890 | (02) | |
P00732601 | RAILROAD MEDICARE (01) | NY |
P00779046 | RAILROAD MEDICARE (01) | NY |