Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 191273 | NY |
NPI | 1003902040 |
---|---|
Provider Name | Isaac Kligman |
First Address | New York, NY 10021-5663 |
Second Address | New York, NY 10021-5663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 30/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F61772 | (02) | NY |