Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 279710 | NY |
N | 208D00000X | General Practice Physician | MD459716 | PA |
N | 208D00000X | General Practice Physician | R0826 | TX |
NPI | 1770978181 |
---|---|
Provider Name | Gidon Akler |
First Address | Great Neck, NY 11021-4717 |
Second Address | Great Neck, NY 11021-4717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2015 |
Last Update Date | 17/03/2018 |