Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 102024 | NY |
NPI | 1609993641 |
---|---|
Provider Name | Dr. Alfred Gilbert |
First Address | New York, NY 10021-4805 |
Second Address | New York, NY 10021-4805 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |