Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 220044 | NY |
NPI | 1043259153 |
---|---|
Provider Name | John C County |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Yorktown Heights, NY 10598-2909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 02/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E29572 | (02) | NY |