Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 196327 | NY |
NPI | 1689745101 |
---|---|
Provider Name | Thant Zin |
First Address | Rego Park, NY 11374-3935 |
Second Address | Bronx, NY 10451-5504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 08/07/2007 |