Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 105385 | NY |
NPI | 1255364840 |
---|---|
Provider Name | Dr. Morteza Behbahani |
First Address | Brooklyn, NY 11209-3207 |
Second Address | Brooklyn, NY 11209-3207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B20562 | (02) | NY |