Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 234924 | NY |
N | 111NI0900X | Internist | 234924 | NY |
N | 207RC0200X | Critical Care Medicine | 234924 | NY |
NPI | 1003992074 |
---|---|
Provider Name | Dr. Bari Fitzgerald Ceka |
First Address | Staten Island, NY 10307-2001 |
Second Address | Staten Island, NY 10307-2001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2142996 | UNITED HEALTH CARE (01) | NY |
2589643 | GHI (01) | NY |
376AS1 | EMPIRE BCBS (01) | NY |
5768046 | CIGNA (01) | NY |
5C5416 | HEALTHNET (01) | NY |
7103298 | AETNA (01) | NY |
H49921 | (02) | NY |