Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 193962 | NY |
N | 111NI0900X | Internist | 193962 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 193962 | NY |
NPI | 1003911645 |
---|---|
Provider Name | Dr. Kalpesh S Amin |
First Address | Roslyn Heights, NY 11577-2713 |
Second Address | Ridgewood, NY 11385-4457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 27/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01644311 | (05) | NY |
G25444 | (02) | NY |