Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 228879 | NY |
N | 207R00000X | Internist | 228879 | NY |
N | 111NI0900X | Internist | 228879 | NY |
N | 207RA0201X | Internist - Allergy & Immunology | 228879 | NY |
N | 2080P0201X | Pediatric Allergist | 228879 | NY |
NPI | 1851354997 |
---|---|
Provider Name | Dr. Boyan Hadjiev |
First Address | Bayside, NY 11361-3676 |
Second Address | New York, NY 10016-1201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I48593 | (02) | NY |