Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 206931-1 | NY |
NPI | 1043260938 |
---|---|
Provider Name | Sadaf R Ahsan |
First Address | Poughkeepsie, NY 12601-1154 |
Second Address | Poughkeepsie, NY 12601-1154 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G58271 | (02) | NY |