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 | 207RH0003X | Internal Medicine | Hematology & Oncology | 195503 | 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 | P891038 | OTHER | NEW YORK | OXFORD PROVIDER ID |
| 2 | 195503 | OTHER | NEW YORK | HIP PROVIDER ID |
| 3 | 811311 | OTHER | NEW YORK | EMPIRE BC/BS PROVIDER ID |
| 4 | 195503-A48 | OTHER | NEW YORK | HEALTHFIRST PROVIDER ID |
| 5 | 2210044 | OTHER | NEW YORK | AETNA INTERNAL MEDICINE |
| 6 | 2369021 | OTHER | NEW YORK | AETNA ONCOLOGY/HEMATOLOGY |
| 7 | 01750238 | MEDICAID | NEW YORK | |
| 8 | 5199980 | OTHER | NEW YORK | GHI PROVIDER ID |
| 9 | 5631642 | OTHER | NEW YORK | AETNA PPO |
| 10 | 1838274 | OTHER | NEW YORK | UNITEDHEALTHCARE ID |
