Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 199984 | NY |
NPI | 1215963855 |
---|---|
Provider Name | Dr. Hema Dalal |
First Address | Hampton Bays, NY 11946-4210 |
Second Address | Hampton Bays, NY 11946-2345 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2006 |
Last Update Date | 25/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01666682 | (05) | NY |
G32213 | (02) | NY |