Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 01080185A | IN |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 215293 | NY |
NPI | 1104864446 |
---|---|
Provider Name | Gary Scott Eglinton |
First Address | Flushing, NY 11355-5045 |
Second Address | Flushing, NY 11355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 05/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02086813 | (05) | NY |
E53243 | (02) | NY |