Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 25MA09263500 | NJ |
Y | 2081P2900X | Pain Medicine | 262494-01 | NY |
NPI | 1073834321 |
---|---|
Provider Name | Naimish Baxi |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 21/12/2020 |