Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 207930 | NY |
NPI | 1043318207 |
---|---|
Provider Name | Dr. Celina Parayannilam John |
First Address | Yonkers, NY 10701-1318 |
Second Address | Yonkers, NY 10701-1318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 04/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01821796 | (05) | NY |
207930 | NY LICENCE NUMBER (01) | NY |
66216 | NEW JERSEY LICENCE NUMBER (01) | NJ |
BP4719300 | DEA NUMBER (01) | NY |
G94121 | (02) | NY |