Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 1960261 | NY |
NPI | 1083639579 |
---|---|
Provider Name | Miriam Kanter |
First Address | Richmond Hill, NY 11418-2014 |
Second Address | Richmond Hill, NY 11418-2014 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 31/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G45747 | (02) | NY |