Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 170682 | NY |
NPI | 1003816786 |
---|---|
Provider Name | Carylann Hadjiyane |
First Address | New Hyde Park, NY 11042-2058 |
Second Address | New Hyde Park, NY 11042-2058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 03/03/2021 |