Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 246638 | NY |
NPI | 1063697027 |
---|---|
Provider Name | Radoslav Toshkoff |
First Address | New Rochelle, NY 10801-5635 |
Second Address | New Rochelle, NY 10801-5635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2008 |
Last Update Date | 21/01/2014 |