Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 198486-L | NY |
N | 207KA0200X | Allergist | MD044201-L | PA |
Y | 207KA0200X | Allergist | ME6071997 | FL |
NPI | 1154380145 |
---|---|
Provider Name | Michel Elias Akl |
First Address | Olean, NY 14760-1858 |
Second Address | Coral Gables, FL 33134-3157 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 13/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00020526301 | UNIVERA (01) | NY |
000523044002 | JAMESTOW BC/BS WNY (01) | NY |
000523044003 | OLEAN BC/BS OF WNY (01) | NY |
14218B | (02) | NY |