Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 175341 | NY |
N | 2084N0600X | Clinical Neurophysiologist | 175341 | NY |
NPI | 1013939545 |
---|---|
Provider Name | Dr. Samuel Apeatu |
First Address | New York, NY 10007-3791 |
Second Address | New York, NY 10007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 19/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01082219 | (05) | NY |