Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 023056 | NY |
Y | 111NI0900X | Internist | 023056 | NY |
NPI | 1003386814 |
---|---|
Provider Name | Nilusha Hirani |
First Address | Rego Park, NY 11374-2737 |
Second Address | Cambria Heights, NY 11411-1846 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2018 |
Last Update Date | 05/12/2018 |