Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 244797 | NY |
NPI | 1245437367 |
---|---|
Provider Name | Sunil David Albert |
First Address | Babylon, NY 11702-3027 |
Second Address | Babylon, NY 11702-3027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 18/06/2021 |