Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 003861 | NY |
NPI | 1043508690 |
---|---|
Provider Name | Dr. John R De Almeida |
First Address | New York, NY 10009-2931 |
Second Address | New York, NY 10009-2931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2011 |
Last Update Date | 18/07/2011 |