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 | 2080P0207X | Pediatrics | Pediatric Hematology-Oncology | 144574 | 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 | 4287598 | OTHER | NEW YORK | AETNA PPO |
| 2 | 2375140 | OTHER | NEW YORK | US HEALTHCARE HMO |
| 3 | 050125000073 | OTHER | NEW YORK | FIDELIS CARE NY |
| 4 | 702069 | OTHER | NEW YORK | FIRST HEALTH |
| 5 | 113491197 | OTHER | NEW YORK | EMPIRE PLAN UHC |
| 6 | NS1147 | OTHER | NEW YORK | OXFORD HEALTH PLANS |
| 7 | 113491197-02 | OTHER | NEW YORK | LOCAL 1199 NBF |
| 8 | 02B311 | OTHER | NEW YORK | EMPIRE BCBS |
| 9 | 144574 | OTHER | NEW YORK | HIP HEALTHCARE NY |
| 10 | 4C4650 | OTHER | NEW YORK | HEALTH NET OF NORTHEAST |
| 11 | C09594 | MEDICARE UPIN | NEW YORK | |
| 12 | 00878602 | MEDICAID | NEW YORK | |
| 13 | GL4574 | OTHER | NEW YORK | ATLANTIS HEALTH PLAN |
| 14 | 1000016415 | OTHER | NEW YORK | AFFINITY HEALTH |
| 15 | 108202 | OTHER | NEW YORK | UNITED HEALTHCARE |
| 16 | 2601198 | OTHER | NEW YORK | GHI PPO, CBP |
| 17 | BK0001259-02 | OTHER | NEW YORK | AMERICHOICE |
| 18 | 144574-B15 | OTHER | NEW YORK | HEALTH FIRST |
| 19 | 257140401 | OTHER | NEW YORK | HEALTH PLUS |
| 20 | 40D731 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | |
