Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 2060061 | NY |
NPI | 1053560649 |
---|---|
Provider Name | Chrispin Kambili |
First Address | New York, NY 10013-4006 |
Second Address | New York, NY 10001-5701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 17/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H89729 | (02) | NY |