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 | 207Y00000X | Otolaryngology | | 1395711 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | NH098A1310 | OTHER | NEW YORK | BCBS 5059 |
| 2 | NH098A1310 | MEDICARE PIN | NEW YORK | |
| 3 | NH098A1310 | OTHER | NEW YORK | BCBS 5047 |
| 4 | NH098A1310 | OTHER | NEW YORK | BCBS 5077 |
| 5 | 544137 | OTHER | | UNIT740800 UNTD HEALTHCAR |
| 6 | NH098A1310 | OTHER | NEW YORK | BCBS 3876 |
| 7 | NH098A1310 | OTHER | NEW YORK | BCBS 3877 |
| 8 | NH098A1310 | OTHER | NEW YORK | BCBS 5012 |
| 9 | 00830699 | MEDICAID | NEW YORK | |
| 10 | 544137 | OTHER | | UNITE 1600 UNTD HEALTHCAR |
| 11 | 544137 | OTHER | | UNITE30555 UNITED HEALTHC |
| 12 | 98A131 | OTHER | | MDCR SECONDARY |
| 13 | NH098A1310 | OTHER | NEW YORK | BCBS 5040 |
| 14 | 544137 | OTHER | | UHC UNITED HEALTHCARE |
| 15 | B20709 | MEDICARE UPIN | | |
| 16 | NH098A1310 | OTHER | NEW YORK | BCBS 1407 |
| 17 | 0176650001 | OTHER | | DMERC HEALTH NOW |
| 18 | NH098A1310 | OTHER | NEW YORK | BCBS 5011 |
| 19 | 113005592 | OTHER | | TRI 7051 |
| 20 | 40006943 | OTHER | | MDCR RRRB RAILROAD |
