Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N005545 | NY |
NPI | 1265594634 |
---|---|
Provider Name | Dr. Angeleta Dhandari-Donovan |
First Address | Selden, NY 11784-2242 |
Second Address | Bronx, NY 10467-2410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U75165 | (02) | NY |