Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 266997 | NY |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 266997 | NY |
NPI | 1821341231 |
---|---|
Provider Name | Perihan El Shanawany |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2012 |
Last Update Date | 06/01/2017 |