Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 141929 | NY |
NPI | 1063534741 |
---|---|
Provider Name | Geoffroy Hallah Patrice |
First Address | Brooklyn, NY 11236-3802 |
Second Address | Brooklyn, NY 11236-3802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00766596 | (05) | NY |
0084492 | GHI (01) | NY |
01198693 | WORKERS'S COMPENSATION (01) | NY |
141929 | HIP (01) | NY |
141929-B16 | HEALTHFIRST (01) | NY |
71S501 | BLUE CROSS BLUE SHIELD (01) | NY |
B20247 | (02) | NY |
P570487 | OXFORD (01) | NY |