Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 235355 | NY |
NPI | 1174597793 |
---|---|
Provider Name | Dr. Krzysztof Nowak |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Yonkers, NY 10701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 03/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02298328 | (05) | NY |
H49234 | (02) | NY |