Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | P04826 | NY |
NPI | 1205377082 |
---|---|
Provider Name | Hebatallah Rashed |
First Address | New York, NY 10065 |
Second Address | New York, NY 10065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2017 |
Last Update Date | 14/03/2017 |