Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 195052 | NY |
NPI | 1609890862 |
---|---|
Provider Name | James M Liguori |
First Address | New Hyde Park, NY 11042-2047 |
Second Address | New Hyde Park, NY 11042-2047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F89638 | (02) | NY |