Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 151542 | NY |
NPI | 1477567428 |
---|---|
Provider Name | Dr. Norman H Greeley |
First Address | Brooklyn, NY 11201-4701 |
Second Address | Brooklyn, NY 11201-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B14125 | (02) | NY |