Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 145043 | NY |
Y | 2080P0208X | Pediatric Infectious Diseases | 145043 | NY |
NPI | 1356302780 |
---|---|
Provider Name | Dr. Brinda Doraiswamy |
First Address | East Meadow, NY 11554-1859 |
Second Address | East Meadow, NY 11554-1859 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 10/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00756450 | (05) | NY |
E44716 | (02) | NY |