Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0101X | MOHS-Micrographic Surgeon | 201981 | NY |
Y | 207NS0135X | Procedural Dermatology | 201981 | NY |
NPI | 1104817675 |
---|---|
Provider Name | Dr. Ariel Ostad |
First Address | New York, NY 10021-6103 |
Second Address | New York, NY 10021-6103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 07/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0M0002 | HEALTHNET (01) | |
201981 | HIP (01) | NY |
AETNA | 5836428 (01) | |
G08066 | (02) | NY |
P448962 | OXFORD (01) | NY |