Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207WX0107X | Retina Specialist | 297928 | MN |
NPI | 1114561859 |
---|---|
Provider Name | Rad Bintareef |
First Address | Malta, NY 12020-4105 |
Second Address | Malta, NY 12020-4105 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2019 |
Last Update Date | 06/11/2019 |