Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 229720 | NY |
NPI | 1003962226 |
---|---|
Provider Name | Dr. Nahed A. Mikhael |
First Address | Staten Island, NY 10314-6008 |
Second Address | Brooklyn, NY 11209-3200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02047661 | (05) | NY |