Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 246567 | NY |
NPI | 1003084302 |
---|---|
Provider Name | Rupinder K Bhangoo |
First Address | Mount Kisco, NY 10549-3446 |
Second Address | Fishkill, NY 12524-2281 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2008 |
Last Update Date | 15/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02982121 | (05) | NY |