Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 191107 | NY |
Y | 207KA0200X | Allergist | 191107 | NY |
NPI | 1104811421 |
---|---|
Provider Name | John Edward Rooney |
First Address | Flushing, NY 11355-5044 |
Second Address | Massapequa, NY 11758-5031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 24/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0003198 | GHI (01) | NY |
0497100 | AETNA HMO BELLMORE (01) | NY |
1000171-002 | CIGNA (01) | NY |
1049565 | FIRST HEALTH (01) | NY |
191107 | HIP (01) | NY |
34J81 | BLUE CROSS BLUE SHIELD (01) | NY |
497100 | UNITED HEALTHCARE (01) | NY |
5147177 | AETNA PPO/POS (01) | NY |
64111 | VYTRA (01) | NY |
AA70463 | MDNY (01) | NY |
AS1263 | OXFORD (01) | NY |
F95541 | (02) | NY |
OC6411 | HEALTHNET (01) | NY |