Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N006666 | NY |
NPI | 1386069706 |
---|---|
Provider Name | Dr. Jobin Abraham Danesh |
First Address | Brooklyn, NY 11229-3500 |
Second Address | Brooklyn, NY 11229-3500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2014 |
Last Update Date | 12/11/2015 |