Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 002954 | NY |
N | 207RP1001X | Pulmonary Disease | 002954 | NY |
NPI | 1013106426 |
---|---|
Provider Name | Dr. Andre Pere Philippos El-Hajj |
First Address | Albany, NY 12212-4890 |
Second Address | Albany, NY 12208-1707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2007 |
Last Update Date | 14/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02948052 | (05) | NY |