Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 249365 | MA |
Y | 2080P0214X | Pediatric Pulmonologist | 274440 | NY |
NPI | 1073848479 |
---|---|
Provider Name | Rizwana N Popatia |
First Address | New York, NY 10021-5342 |
Second Address | New York, NY 10021-4872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2009 |
Last Update Date | 25/02/2016 |