Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 278963 | NY |
N | 207YP0228X | Pediatric Otolaryngology | 35832 | SC |
NPI | 1699939249 |
---|---|
Provider Name | David Gudis |
First Address | New York, NY 10032-3722 |
Second Address | New York, NY 10032-3722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2008 |
Last Update Date | 16/03/2018 |