Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 257003 | NY |
Y | 111NI0900X | Internist | 257003 | NY |
N | 207RA0401X | Internist - Addiction Medicine | 257003 | NY |
NPI | 1710144498 |
---|---|
Provider Name | Dr. Rishikesh P. Dalal |
First Address | New York, NY 10010-1600 |
Second Address | Long Island City, NY 11106-4705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 23/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05383835 | (05) | NY |