Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 243989 | NY |
N | 2081S0010X | Sports Medicine | 243989 | NY |
N | 213ES0000X | Sports Medicine | 243989 | NY |
NPI | 1154487528 |
---|---|
Provider Name | Sanjeev Agarwal |
First Address | Brooklyn, NY 11203-2056 |
Second Address | Brooklyn, NY 11203-2056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 28/06/2014 |