Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 199347 | NY |
Y | 208000000X | Pediatrician | 199347 | NY |
NPI | 1063586592 |
---|---|
Provider Name | Firdous Rizvi |
First Address | Brooklyn, NY 11206 |
Second Address | Brooklyn, NY 11206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/04/2014 |