Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 156385 | NY |
NPI | 1194769083 |
---|---|
Provider Name | Richard A Kolchin |
First Address | Jamaica, NY 11418 |
Second Address | Brooklyn, NY 11212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01036364 | (05) | NY |
B88912 | (02) |