Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 21812 | PR |
Y | 208000000X | Pediatrician | 309351 | NY |
NPI | 1003363862 |
---|---|
Provider Name | Oscar Andres Muniz-Seda |
First Address | New Hyde Park, NY 11040-1433 |
Second Address | New Hyde Park, NY 11040-1433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2016 |
Last Update Date | 11/07/2021 |