Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 25MA07107600 | NJ |
NPI | 1003984733 |
---|---|
Provider Name | Myint Kyi |
First Address | Suffern, NY 10901-4927 |
Second Address | Montclair, NJ 07042-4837 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 02/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03526969 | (05) | NY |
8337403 | (05) | NJ |
H27310 | (02) | NJ |