Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 150865 | NY |
N | 208000000X | Pediatrician | 150865 | NY |
NPI | 1437264314 |
---|---|
Provider Name | Dr. Morris Charytan |
First Address | Valley Stream, NY 11580-5914 |
Second Address | Valley Stream, NY 11580-5914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 08/07/2007 |