Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 20112 | CT |
NPI | 1164443040 |
---|---|
Provider Name | Daniel Kordansky |
First Address | West Hartford, CT 06107-1932 |
Second Address | West Hartford, CT 06107-1932 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2006 |
Last Update Date | 08/07/2007 |