Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 214431 | NY |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 214431 | NY |
NPI | 1023069218 |
---|---|
Provider Name | Dr. Suhas Madhukar Nafday |
First Address | Bronx, NY 10461-2301 |
Second Address | Bronx, NY 10461-2301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 02/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02257770 | (05) | NY |
H64294 | (02) | NY |