Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | 105234 | NY |
NPI | 1902933328 |
---|---|
Provider Name | Mr. Sallah U Abbasey |
First Address | Medina, NY 14103 |
Second Address | Medina, NY 14103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B35882 | (02) | |
BA9595123 | DEA (01) |