Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 078110-1 | NY |
NPI | 1942308168 |
---|---|
Provider Name | Robert Karol |
First Address | Lawrence, NY 11559-1918 |
Second Address | Lawrence, NY 11559-1918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C05856 | (02) | NY |