Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 163062 | NY |
Y | 111NI0900X | Internist | 163062 | NY |
N | 207RI0200X | Infectious Disease | 163062 | NY |
NPI | 1043263098 |
---|---|
Provider Name | Fernando A Pujol-Morato |
First Address | Brooklyn, NY 11215-5207 |
Second Address | Brooklyn, NY 11215-5207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 16/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01044173 | (05) | NY |
B95533 | (02) |