Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | N006429 | NY |
Y | 213ES0131X | Foot Surgery | N006429 | NY |
NPI | 1568626034 |
---|---|
Provider Name | Rupal Oza |
First Address | Astoria, NY 11102-2096 |
Second Address | North Bellmore, NY 11710-1833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2008 |
Last Update Date | 29/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006429 | LICENSE (01) | NY |