Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 201834 | NY |
NPI | 1093795262 |
---|---|
Provider Name | Dr. Alon Y Mogilner |
First Address | New York, NY 10016-6402 |
Second Address | Great Neck, NY 11021-4315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2006 |
Last Update Date | 03/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02163284 | (05) | NY |
H41909 | (02) | NY |