Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 106520 | NY |
NPI | 1124007281 |
---|---|
Provider Name | Dr. Milton J Reitman |
First Address | Dix Hills, NY 11746-5601 |
Second Address | Dix Hills, NY 11746-5601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 17/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00186989 | (05) | NY |
B17436 | (02) | NY |