Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 262868 | NY |
NPI | 1073752382 |
---|---|
Provider Name | Firas A Taha |
First Address | New York, NY 10023-7853 |
Second Address | Brooklyn, NY 11219-2919 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2009 |
Last Update Date | 05/07/2012 |