Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 11045 | RI |
N | 2084N0400X | Neurologist | 11045 | RI |
NPI | 1033116025 |
---|---|
Provider Name | Neil Labove |
First Address | Warwick, RI 02886-4480 |
Second Address | Warwick, RI 02886-4480 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 31/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9021551 | (05) | RI |
B35508 | (02) |