Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 264025 | NY |
Y | 2080P0214X | Pediatric Pulmonologist | 264025 | NY |
NPI | 1619248614 |
---|---|
Provider Name | Claudia Halaby |
First Address | Mineola, NY 11501-3800 |
Second Address | Mineola, NY 11501-4064 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2012 |
Last Update Date | 02/07/2012 |