Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 138846 | NY |
NPI | 1447330204 |
---|---|
Provider Name | Zvi Ben Zvi |
First Address | Scarsdale, NY 10583 |
Second Address | Bx, NY 10463 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C10583 | (02) |