Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 288612 | NY |
N | 207RC0000X | Internist - Cardiovascular Disease | 288612 | NY |
NPI | 1861836645 |
---|---|
Provider Name | Dr. Bernard Shown Kadosh |
First Address | New York, NY 10075-1850 |
Second Address | New York, NY 10016-6402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2013 |
Last Update Date | 03/02/2022 |