Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 149046 | NY |
Y | 208000000X | Pediatrician | 149046 | NY |
NPI | 1013012772 |
---|---|
Provider Name | Edward J Gindi |
First Address | Brooklyn, NY 11229-1100 |
Second Address | Brooklyn, NY 11229-1100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 06/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B15323 | (02) |