Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 244310 | NY |
NPI | 1003973777 |
---|---|
Provider Name | Dr. David J Aguilar |
First Address | East Setauket, NY 11733-6401 |
Second Address | Bronx, NY 10451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 28/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02175597 | (05) | NY |