Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 232438-1 | NY |
NPI | 1003994120 |
---|---|
Provider Name | Dr. James Mccallum Noble |
First Address | New York, NY 10032-3726 |
Second Address | New York, NY 10032-3726 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 30/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02755773 | (05) | NY |