Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 187269 | NY |
N | 111NI0900X | Internist | 187269 | NY |
Y | 207RI0200X | Infectious Disease | 187269 | NY |
NPI | 1083750061 |
---|---|
Provider Name | Dr. Carlos Martin Vaamonde |
First Address | New York, NY 10021 |
Second Address | New York, NY 10021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 02/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02099998 | (05) | NY |
187269 | NYS LICENCE (01) | NY |
BV5410941 | DEA (01) | NY |
F56417 | (02) | NY |