Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 149270 | NY |
N | 111NI0900X | Internist | 149270 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | 149270 | NY |
N | 207RA0401X | Internist - Addiction Medicine | 25MA03980800 | NJ |
NPI | 1417114307 |
---|---|
Provider Name | Mrs. Sarup Girdhari Nariani |
First Address | Staten Island, NY 10305-3409 |
Second Address | Staten Island, NY 10305-3409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 19/05/2008 |