Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 165540 | NY |
NPI | 1649219783 |
---|---|
Provider Name | Dr. Jay N Dolitsky |
First Address | Tarrytown, NY 10591-5139 |
Second Address | New York, NY 10016-7601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 02/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F44443 | (02) | NY |