Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 234408 | NY |
N | 207VX0000X | Obstetrician | 234408 | NY |
NPI | 1184830689 |
---|---|
Provider Name | Dr. Yamit Busidan |
First Address | Brooklyn, NY 11231-4008 |
Second Address | Brooklyn, NY 11203-3513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |