Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 110307 | NY |
NPI | 1043227416 |
---|---|
Provider Name | Dr. Barry S. Coller |
First Address | New York, NY 10021-6307 |
Second Address | New York, NY 10021-6307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C08258 | (02) | NY |