Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 186356 | NY |
NPI | 1588659627 |
---|---|
Provider Name | Melodi Buket Pirzada |
First Address | Mineola, NY 11501-3808 |
Second Address | Mineola, NY 11501-4073 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 19/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01551197 | (05) | NY |
F82714 | (02) | NY |