Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 118059-1 | NY |
N | 2080A0000X | Adolescent Medicine | 118059-1 | NY |
NPI | 1043218571 |
---|---|
Provider Name | Dr. William Millar Zurhellen |
First Address | Mount Kisco, NY 10549-3446 |
Second Address | Jefferson Valley, NY 10535-1500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 09/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00564021 | (05) | NY |
B20037 | (02) | NY |