Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 250-489 | NY |
NPI | 1013112952 |
---|---|
Provider Name | Dr. Ahmet Altiner |
First Address | New York, NY 10024-5511 |
Second Address | New York, NY 10024-5511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 29/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
250-489 | MEDICAL LICENSE (01) | NY |