Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 256216 | NY |
NPI | 1003138058 |
---|---|
Provider Name | Ijaz Rashid |
First Address | Auburn, NY 13021-1983 |
Second Address | Auburn, NY 13021-1944 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2010 |
Last Update Date | 29/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03218375 | (05) | NY |