Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 230144 | MA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 249838 | NY |
NPI | 1215077185 |
---|---|
Provider Name | Dr. Sepideh Baghian |
First Address | Bronx, NY 10457-7606 |
Second Address | Bronx, NY 10457-7606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 16/02/2017 |