Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 121178 | NY |
NPI | 1023004876 |
---|---|
Provider Name | Max I Hamburger |
First Address | Smithtown, NY 11787-2817 |
Second Address | Melville, NY 11747-3031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 19/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00434579 | (05) | NY |
B20592 | (02) | NY |