Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 161141 | NY |
NPI | 1902071806 |
---|---|
Provider Name | Dr. Gesner Louis Auguste |
First Address | Brooklyn, NY 11226-2203 |
Second Address | Brooklyn, NY 11226-2203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 23/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B88327 | (02) | NY |