Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 230588 | NY |
NPI | 1013997279 |
---|---|
Provider Name | Dr. Dora S Pinkhasova |
First Address | Rego Park, NY 11374-3319 |
Second Address | Rego Park, NY 11374-3319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02548034 | (05) | NY |
I06041 | (02) | NY |