Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 70 011289 | NY |
Y | 111NN1001X | Nutrition | 70 011289 | NY |
NPI | 1235334921 |
---|---|
Provider Name | Dr. James Joseph Monks |
First Address | Chestnut Ridge, NY 10977-7019 |
Second Address | New City, NY 10956-3040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 19/04/2010 |