Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 249535 | NY |
Y | 207YS0123X | Facial Plastic Surgeon | 249535 | NY |
NPI | 1851558936 |
---|---|
Provider Name | Dr. Roheen Raithatha |
First Address | Tarrytown, NY 10591-5139 |
Second Address | New York, NY 10016-7601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2008 |
Last Update Date | 03/04/2019 |