Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | P01247 | NY |
NPI | 1093177909 |
---|---|
Provider Name | Sharif Younis |
First Address | Bronx, NY 10458-5049 |
Second Address | Bronx, NY 10458-5049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2016 |
Last Update Date | 22/03/2016 |