Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 165582 | NY |
NPI | 1033179437 |
---|---|
Provider Name | Dr. Filippo Di Carmine |
First Address | Lynbrook, NY 11563-2025 |
Second Address | Lynbrook, NY 11563-2025 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 21/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01085363 | (05) | NY |
D93256 | (02) | NY |