Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 120078 | NY |
NPI | 1295936474 |
---|---|
Provider Name | Joseph Edwin May |
First Address | Huntington, NY 11743-2958 |
Second Address | Huntington, NY 11743-2958 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B78448 | (02) |