Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 162673 | NY |
NPI | 1508992371 |
---|---|
Provider Name | Sherry Arbisser |
First Address | Flushing, NY 11365-2008 |
Second Address | Jamaica, NY 11432-1116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A60876 | (02) | NY |