Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 220539 | NY |
Y | 207RP1001X | Pulmonary Disease | 220539 1 | NY |
N | 207RS0012X | Sleep Medicine | 220539 | NY |
NPI | 1053405084 |
---|---|
Provider Name | Dr. Jalil Anwar |
First Address | Huntington, NY 11743-2948 |
Second Address | Huntington, NY 11743-2967 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 19/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02180303 | (05) | NY |
H39494 | (02) |