Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 220892 | NY |
NPI | 1912195835 |
---|---|
Provider Name | Dr. Kamran S Jafri |
First Address | New York, NY 10022-3161 |
Second Address | New York, NY 10016-4974 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2007 |
Last Update Date | 31/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02288957 | (05) | NY |