Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 237592 | NY |
NPI | 1487819603 |
---|---|
Provider Name | Zoltan Antal |
First Address | Bronx, NY 10467-2510 |
Second Address | Bronx, NY 10467-2510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 29/10/2012 |