Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | AN1865243S68 | NY |
Y | 208600000X | Surgeon | AN1865243S68 | NY |
NPI | 1003065079 |
---|---|
Provider Name | Dr. Akili Hinson |
First Address | New York, NY 10065-6330 |
Second Address | New York, NY 10065-4870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2008 |
Last Update Date | 15/09/2008 |