Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 206076 | NY |
NPI | 1073506069 |
---|---|
Provider Name | Dr. Munir V Ghesani |
First Address | New York, NY 10019-1414 |
Second Address | New York, NY 10019-1104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01664406 | (05) | NY |
G29258 | (02) | NY |