Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 257060 | NY |
Y | 2080P0201X | Pediatric Allergist | 257060 | NY |
NPI | 1326377631 |
---|---|
Provider Name | Jacob Daniel Kattan |
First Address | New York, NY 10029-6500 |
Second Address | New York, NY 10029-6500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2009 |
Last Update Date | 10/07/2013 |