Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 155936 | NY |
N | 208000000X | Pediatrician | 155936 | NY |
NPI | 1013996784 |
---|---|
Provider Name | Dr. David Bruce Hyman |
First Address | Manhasset, NY 11030-3006 |
Second Address | Manhasset, NY 11030-3006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 11/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00808200 | (05) | NY |
01611781390 | AMA MEDICAL IDENTIFICATIO (01) | |
A60459 | (02) | NY |