Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 256355 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | MD19906 | ME |
NPI | 1255326591 |
---|---|
Provider Name | Eduard Porosnicu |
First Address | Brooklyn, NY 11203-2017 |
Second Address | Brooklyn, NY 11203-2017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 27/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02359759 | (05) | NY |