Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 132990 | NEW YORK | No |
| 2 | 2083X0100X | Preventive Medicine | Occupational Medicine | 132990 | NEW YORK | No |
| 3 | 2084A0401X | Psychiatry & Neurology | Addiction Medicine | 132990 | NEW YORK | No |
| 4 | 2084F0202X | Psychiatry & Neurology | Forensic Psychiatry | 132990 | NEW YORK | No |
| 5 | 2084P0015X | Psychiatry & Neurology | Psychosomatic Medicine | 132990 | NEW YORK | No |
| 6 | 2084P2900X | Psychiatry & Neurology | Pain Medicine | 132990 | NEW YORK | No |
| 7 | 251B00000X | Case Management | | 132990 | NEW YORK | No |
| 8 | 261QM0801X | Clinic/Center | Mental Health (Including Community Mental Health Center) | 132990 | NEW YORK | No |
| 9 | 282N00000X | General Acute Care Hospital | | 132990 | NEW YORK | No |
| 10 | 305S00000X | Point of Service | | 132990 | NEW YORK | No |
| 11 | 207PE0004X | Emergency Medicine | Emergency Medical Services | 132990 | NEW YORK | Yes |
