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 | 174400000X | Specialist | | 019093 | NEW YORK | No |
| 2 | 207RH0002X | Internal Medicine | Hospice and Palliative Medicine | 154900 | NEW YORK | No |
| 3 | 207X00000X | Orthopaedic Surgery | | 153790 | NEW YORK | No |
| 4 | 2081H0002X | Physical Medicine & Rehabilitation | Hospice and Palliative Medicine | 163147 | NEW YORK | No |
| 5 | 225100000X | Physical Therapist | | 019093 | NEW YORK | No |
| 6 | 363A00000X | Physician Assistant | | 008674 | NEW YORK | No |
| 7 | 363A00000X | Physician Assistant | | 010820 | NEW YORK | No |
| 8 | 363A00000X | Physician Assistant | | 0000020 | NEW YORK | No |
| 9 | 363A00000X | Physician Assistant | | 00207 | NEW YORK | No |
| 10 | 2471N0900X | Radiologic Technologist | Nuclear Medicine Technology | 876984 | NEW YORK | Yes |