Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 174927 | NY |
NPI | 1588752141 |
---|---|
Provider Name | Dr. Amin Hakim |
First Address | Staten Island, NY 10312-3609 |
Second Address | Staten Island, NY 10312-3609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/07/2007 |