Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 280195 | NY |
N | 207YP0228X | Pediatric Otolaryngology | 41490 | KY |
NPI | 1417131434 |
---|---|
Provider Name | Dr. Abbas Ali Younes |
First Address | Stony Brook, NY 11794-0001 |
Second Address | East Setauket, NY 11733-3465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 02/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100048380 | (05) | KY |