Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 143822 | NY |
NPI | 1356364863 |
---|---|
Provider Name | Dr. Michael Frederick Cabbad |
First Address | Brooklyn, NY 11209-2830 |
Second Address | Brooklyn, NY 11201-5465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 27/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01035294 | (05) | NY |
A98835 | (02) | NY |