Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0214X | Pediatric Pulmonologist | 150449-1 | NY |
Y | 2080P0214X | Pediatric Pulmonologist | 238874 | MA |
NPI | 1568455533 |
---|---|
Provider Name | Robert A Kaslovsky |
First Address | Albany, NY 12208-3412 |
Second Address | Albany, NY 12208-3412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 06/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01044540 | (05) | NY |
B82942 | (02) | NY |