Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 236547 | NY |
N | 208000000X | Pediatrician | ME142233 | FL |
Y | 2080P0204X | Pediatric Emergency Doctor | ME142233 | FL |
NPI | 1215035746 |
---|---|
Provider Name | Dr. Jahn T. Avarello |
First Address | New Hyde Park, NY 11042-1215 |
Second Address | Coral Springs, FL 33076-3302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 24/06/2021 |