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 | 207W00000X | Ophthalmology | | 188484 | 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 | H660438 | OTHER | NEW YORK | ELDERPLAN |
| 2 | 1333949 | OTHER | NEW YORK | UNITED HC ID |
| 3 | 188484B40 | OTHER | NEW YORK | HEALTHFIRST 65 ID |
| 4 | 561461 | OTHER | NEW YORK | AETNA USHC |
| 5 | 0401019 | OTHER | NEW YORK | GHI ID |
| 6 | 7867556 | OTHER | NEW YORK | CIGNA ID |
| 7 | 180029520 | OTHER | NEW YORK | PALMETTO ID |
| 8 | 93T321 | OTHER | NEW YORK | BLUE CROSS BLUE SHIELD ID |
| 9 | 69T049L771 | MEDICARE PIN | NEW YORK | |
| 10 | 1C2535 | OTHER | NEW YORK | HEALTH NET |
| 11 | 79022 | OTHER | NEW YORK | VYTRA |
| 12 | P560514 | OTHER | NEW YORK | OXFORD ID |
| 13 | G03737 | MEDICARE UPIN | NEW YORK | |
| 14 | 48483P | OTHER | NEW YORK | HIP ID |
| 15 | 01579542 | MEDICAID | NEW YORK | |
| 16 | A400130977 | MEDICARE PIN | NEW YORK | |