Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 249367 | NY |
Y | 111NI0900X | Internist | 249367 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 249367 | NY |
NPI | 1013051408 |
---|---|
Provider Name | Melissa May Bakar |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2007 |
Last Update Date | 06/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03047858 | (05) | NY |