Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 000X3495 | NY |
NPI | 1285840330 |
---|---|
Provider Name | Dr. Andrew Howard Myones |
First Address | Dix Hills, NY 11746-5407 |
Second Address | Syosset, NY 11791-6003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 29/11/2011 |