Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 281238 | NY |
N | 208200000X | Surgeon | MT193222 | PA |
N | 208600000X | Surgeon | MT193222 | PA |
NPI | 1972763399 |
---|---|
Provider Name | Dhave Setabutr |
First Address | New Hyde Park, NY 11042-1121 |
Second Address | New Hyde Park, NY 11042-1121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2008 |
Last Update Date | 14/09/2015 |