Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 226009 | NY |
NPI | 1043290513 |
---|---|
Provider Name | Dr. Mukul Arya |
First Address | Old Westbury, NY 11568-1312 |
Second Address | Brooklyn, NY 11237-4039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 08/07/2007 |