Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 003090 | NY |
Y | 2080P0202X | Pediatric Cardiologist | 257116 | NY |
NPI | 1275791337 |
---|---|
Provider Name | Dr. Cynthia Romold Amirtharaj |
First Address | Elmhurst, NY 11373-1329 |
Second Address | New York, NY 10016-6402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 01/10/2021 |