Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 245269 | NY |
N | 207QA0505X | Family Doctor - Adult Medicine | 047158 | CT |
NPI | 1215194394 |
---|---|
Provider Name | Dr. Noor Afza Begum |
First Address | Port Chester, NY 10573-4911 |
Second Address | Ossining, NY 10562-4702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2008 |
Last Update Date | 20/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03176107 | (05) | NY |