Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 043173-1 | NY |
NPI | 1013471408 |
---|---|
Provider Name | Satvir Hundal |
First Address | Moriches, NY 11955-1411 |
Second Address | Moriches, NY 11955-1411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2019 |
Last Update Date | 30/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
043173-1 | STATE OF NEW YORK EDUCATION DEPARTMENT (01) | NY |