Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 297454 | NY |
NPI | 1003173477 |
---|---|
Provider Name | Neil Haranhalli |
First Address | Bronx, NY 10467-2841 |
Second Address | Bronx, NY 10467-2841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2012 |
Last Update Date | 02/12/2020 |