Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 198212 | NY |
NPI | 1548228232 |
---|---|
Provider Name | Dr. Nelson Alcaraz |
First Address | Flushing, NY 11355-5044 |
Second Address | Jackson Heights, NY 11372-6339 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G79651 | (02) |