Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N006039 | NY |
Y | 222Z00000X | Podiatrist | N006039 | NY |
N | 213ES0131X | Foot Surgery | N006039 | NY |
NPI | 1306846951 |
---|---|
Provider Name | Dr. Ho Yim |
First Address | Staten Island, NY 10314-4815 |
Second Address | Flushing, NY 11355-3977 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 21/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02611181 | (05) | NY |
V02198 | (02) | NY |