Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 100465-01 | NY |
NPI | 1447803028 |
---|---|
Provider Name | Dib Sassine |
First Address | New York, NY 10065-6342 |
Second Address | New York, NY 10065-6342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2019 |
Last Update Date | 22/07/2019 |