Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 122803 | NY |
NPI | 1003917253 |
---|---|
Provider Name | Erwin Kolodny |
First Address | New York, NY 10016-3240 |
Second Address | New York, NY 10016-3240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 20/02/2008 |