Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 213637 | NY |
NPI | 1679540173 |
---|---|
Provider Name | Sherif Heiba |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 15/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01978129 | (05) | NY |
G98861 | (02) | NY |