Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 001616 | NY |
NPI | 1013977628 |
---|---|
Provider Name | Dr. Meheroz H Rabadi |
First Address | White Plains, NY 10606-3111 |
Second Address | White Plains, NY 10605-2523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2006 |
Last Update Date | 12/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001616 | STATE LICENSE (01) | NY |
025961 | (05) | NY |
H23607 | (02) | NY |