Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 197504 | NY |
NPI | 1225025547 |
---|---|
Provider Name | Daniel F. Roshan |
First Address | Great Neck, NY 11023-0023 |
Second Address | New York, NY 10016-3814 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2005 |
Last Update Date | 30/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01860044 | (05) | NY |
G73345 | (02) | NY |