Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 102500 | NY |
NPI | 1063572105 |
---|---|
Provider Name | Kanti Rai |
First Address | New Hyde Park, NY 11040 |
Second Address | New Hyde Park, NY 11040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/07/2007 |