Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 1335801 | NY |
N | 2080P0205X | Pediatric Endocrinologist | 1335801 | NY |
NPI | 1295777332 |
---|---|
Provider Name | Narayanna Krishnan |
First Address | Brooklyn, NY 11205 |
Second Address | Brooklyn, NY 11229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00573753 | (05) | NY |
B16684 | (02) |