Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 1207291 | NY |
N | 111NI0900X | Internist | 1207291 | NY |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 1207291 | NY |
NPI | 1063475820 |
---|---|
Provider Name | Herman B Giddings |
First Address | Brooklyn, NY 11205 |
Second Address | Brooklyn, NY 11208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B12652 | (02) |