Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 203446-1 | NY |
NPI | 1023015054 |
---|---|
Provider Name | Evan L. Held |
First Address | Huntington Station, NY 11746-1915 |
Second Address | Huntington Station, NY 11746-1915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2005 |
Last Update Date | 15/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02079743 | (05) | NY |
H18433 | (02) | NY |