Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 249563 | NY |
NPI | 1548497670 |
---|---|
Provider Name | Vijay Mukhija |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Melville, NY 11747-4992 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2009 |
Last Update Date | 03/04/2019 |