Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 218128-1 | NY |
N | 2086S0120X | Pediatric Surgery | 218128-1 | NY |
NPI | 1417959834 |
---|---|
Provider Name | Dr. Neil Sarkis Devejian |
First Address | Albany, NY 12208-3412 |
Second Address | Albany, NY 12208-3412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02101251 | (05) | NY |
H07371 | (02) | NY |