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 | 207R00000X | Internal Medicine | | | NEW YORK | No |
| 2 | 207RC0000X | Internal Medicine | Cardiovascular Disease | | NEW YORK | No |
| 3 | 207RC0001X | Internal Medicine | Clinical Cardiac Electrophysiology | | NEW YORK | No |
| 4 | 207RI0011X | Internal Medicine | Interventional Cardiology | | NEW YORK | No |
| 5 | 207T00000X | Neurological Surgery | | | NEW YORK | No |
| 6 | 208000000X | Pediatrics | | | NEW YORK | No |
| 7 | 2084N0400X | Psychiatry & Neurology | Neurology | | NEW YORK | No |
| 8 | 2086S0129X | Surgery | Vascular Surgery | | NEW YORK | No |
| 9 | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | | | NEW YORK | No |
| 10 | 363A00000X | Physician Assistant | | | NEW YORK | No |
| 11 | 363AS0400X | Physician Assistant | Surgical | | NEW YORK | No |
| 12 | 363L00000X | Nurse Practitioner | | | NEW YORK | No |
| 13 | 363LF0000X | Nurse Practitioner | Family | | NEW YORK | No |
| 14 | 207Q00000X | Family Medicine | | | NEW YORK | Yes |
