Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 114703 | NM |
Y | 111NI0900X | Internist | 114703 | NM |
N | 207RR0500X | Rheumatology | 114703 | NY |
NPI | 1053374868 |
---|---|
Provider Name | Dr. Miguel Cima |
First Address | Garden City, NY 11530 |
Second Address | Garden City, NY 11530-4803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 21/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B18713 | (02) | NY |