Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic | 008099 | NY |
NPI | 1730390535 |
---|---|
Provider Name | Dolly Mahabir |
First Address | South Richmond Hill, NY 11419-2216 |
Second Address | South Richmond Hill, NY 11419-2216 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2007 |
Last Update Date | 08/07/2007 |