Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 154657 | NY |
NPI | 1033133541 |
---|---|
Provider Name | Dr. Howard Rattner |
First Address | Great Neck, NY 11023-2433 |
Second Address | Great Neck, NY 11023-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 07/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A64833 | (02) | NY |