Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MA09710500 | NJ |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 278489 | NY |
Y | 2081P2900X | Pain Medicine | 25MA09710500 | NJ |
N | 2081P2900X | Pain Medicine | 278489 | NY |
NPI | 1184917445 |
---|---|
Provider Name | Dr. Cyrus Kao |
First Address | New York, NY 10036-2014 |
Second Address | New York, NY 10036-2014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2011 |
Last Update Date | 16/08/2016 |