Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X006145 | NY |
NPI | 1003834458 |
---|---|
Provider Name | Dr. Arie Gilbert |
First Address | Forest Hills, NY 11375-6251 |
Second Address | North Babylon, NY 11703-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 11/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01722325 | (05) | NY |