Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 212628 | NY |
Y | 207VG0400X | Gynecologist | 212628 | NY |
NPI | 1114092335 |
---|---|
Provider Name | Gulbahar P Donn |
First Address | Bayside, NY 11361-2236 |
Second Address | Elmhurst, NY 11373-4245 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 15/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02099778 | (05) | NY |
H06056 | (02) |