Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 125033 | NY |
NPI | 1003982976 |
---|---|
Provider Name | Dr. Michael J. D'alto |
First Address | Brooklyn, NY 11238 |
Second Address | Brooklyn, NY 11238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 25/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00272660 | (05) | NY |
C08173 | (02) |