Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 284416 | NY |
NPI | 1376826669 |
---|---|
Provider Name | Erick Fernando Mayer Arispe |
First Address | Brooklyn, NY 11203-2054 |
Second Address | Brooklyn, NY 11203-2054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2011 |
Last Update Date | 02/11/2017 |