Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 192492 | NY |
NPI | 1003831405 |
---|---|
Provider Name | Dr. Ahmad Adnan Sultan |
First Address | Albany, NY 12208-0418 |
Second Address | Albany, NY 12208-1963 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 16/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01487030 | (05) | NY |