Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 221152-1 | NY |
NPI | 1003906264 |
---|---|
Provider Name | Dr. Vineet Gambhir |
First Address | Smithtown, NY 11787-1431 |
Second Address | Smithtown, NY 11787-1431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I02795 | (02) | NY |