Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 268519 | NY |
Y | 2080P0210X | Pediatric Nephrologist | 268519 | NY |
NPI | 1154557973 |
---|---|
Provider Name | Dr. Hridya Suman |
First Address | New York, NY 10021-4872 |
Second Address | New York, NY 10021-4872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2009 |
Last Update Date | 25/06/2015 |