Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 189152 | NY |
NPI | 1003808999 |
---|---|
Provider Name | Dr. Donald Stone Higgins JR. |
First Address | Albany, NY 12208-3410 |
Second Address | Albany, NY 12208-3410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 26/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01353337 | (05) | NY |
F28225 | (02) | NY |