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 | 207ZB0001X | Pathology | Blood Banking & Transfusion Medicine | CLIA 33D1051889 | NEW YORK | No |
| 2 | 207ZC0500X | Pathology | Cytopathology | CLIA 33D1051889 | NEW YORK | No |
| 3 | 207ZF0201X | Pathology | Forensic Pathology | CLIA 33D1051889 | NEW YORK | No |
| 4 | 207ZI0100X | Pathology | Immunopathology | CLIA 33D1051889 | NEW YORK | No |
| 5 | 207ZN0500X | Pathology | Neuropathology | CLIA 33D1051889 | NEW YORK | No |
| 6 | 207ZP0007X | Pathology | Molecular Genetic Pathology | CLIA 33D1051889 | NEW YORK | No |
| 7 | 207ZP0213X | Pathology | Pediatric Pathology | CLIA 33D1051889 | NEW YORK | No |
| 8 | 207ZP0102X | Pathology | Anatomic Pathology & Clinical Pathology | CLIA 33D1051889 | 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 | A100113363 | MEDICARE PIN | NEW YORK | |