Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 219321 | NY |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 219321 | NY |
NPI | 1255438263 |
---|---|
Provider Name | Dr. Antoni D'souza |
First Address | Oakland Gardens, NY 11364-1629 |
Second Address | Oakland Gardens, NY 11364-1629 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 15/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02109442 | (05) | NY |
G84604 | (02) | NY |