Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 151729 | NY |
NPI | 1003808957 |
---|---|
Provider Name | Ms. Michael Arlia |
First Address | Mount Kisco, NY 10549-1009 |
Second Address | Mount Kisco, NY 10549-3417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01133999 | (05) | NY |
B10931 | (02) | NY |