Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 246157 | NY |
Y | 2080P0208X | Pediatric Infectious Diseases | 246157 | NY |
NPI | 1063623411 |
---|---|
Provider Name | Dr. Saul Robert Hymes |
First Address | Stony Brook, NY 11790 |
Second Address | Stony Brook, NY 11794-8111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 01/05/2015 |