Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 383182 | NY |
NPI | 1023621240 |
---|---|
Provider Name | Nina Skaria |
First Address | New Hyde Park, NY 11042-2057 |
Second Address | New Hyde Park, NY 11042-2057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2020 |
Last Update Date | 27/08/2020 |