Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 254001 | NY |
NPI | 1003937715 |
---|---|
Provider Name | Dr. Dayal Davis Raja |
First Address | New Hartford, NY 13413-1001 |
Second Address | New Hartford, NY 13413-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 06/09/2016 |