Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 147649 | NY |
N | 207KA0200X | Allergist | 147649 | NY |
Y | 207RA0201X | Internist - Allergy & Immunology | 147649 | NY |
NPI | 1144277823 |
---|---|
Provider Name | Dr. Bruce S Dobozin |
First Address | New York, NY 10010-6723 |
Second Address | New York, NY 10010-6723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 19/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00901822 | (05) | NY |
A62896 | (02) | NY |