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 | 207K00000X | Allergy & Immunology | | 270965 | NEW YORK | No |
2 | 207K00000X | Allergy & Immunology | | 270961-1 | 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 | 1629212592 | OTHER | NEW JERSEY | UNITED HEATHLCARE |
2 | 1629212592 | OTHER | NEW YORK | HEALTH REPUBLIC |
3 | 3735635 | OTHER | NEW YORK | EMBLEM HEALTH GHI |
4 | 7368178 | OTHER | NEW YORK | CIGNA, GREATWEST |
5 | 1629212592 | OTHER | NEW YORK | METROPLUS CHILD HEALTH |
6 | 1629212592 | OTHER | NEW YORK | TOUCHSTONE HEALTH MEDICARE |
7 | 1629212592 | OTHER | NEW YORK | CHN |
8 | 1629212592 | OTHER | NEW YORK | FIDELIS CARE |
9 | PH27052 | OTHER | NEW YORK | NEW YORK HOTEL TRADES |
10 | 1629212592 | OTHER | NEW YORK | PHP |
11 | 1629212592 | OTHER | NEW YORK | 1199 SEIU |
12 | 2527348 | OTHER | NEW YORK | COVENTRY HEALTH-FIRST HEALTH |
13 | 1629212592 | OTHER | NEW YORK | TRICARE HEALTHNET |
14 | 1629212592 | OTHER | NEW YORK | N.Y. EMPIRE PLAN |
15 | 90002754 | OTHER | NEW YORK | AETNA HMO |
16 | 04034479 | MEDICAID | NEW YORK | |
17 | 1629212592 | OTHER | NEW YORK | HUMANA CARE |
18 | 1629212592 | OTHER | NEW YORK | MULTIPLAN PHCS |
19 | 1629212592 | OTHER | NEW YORK | ELDER PLAN |
20 | 1629212592 | OTHER | NEW YORK | CHAMPVA |
21 | 1629212592 | OTHER | NEW YORK | TPRN THREE RIVERS |
22 | 1404111P | OTHER | NEW YORK | EMBLEM HIP |
23 | 270965 | OTHER | NEW YORK | TOUCHSTONE HEALTH MEDICARE |
24 | 6N9591-6N9592 | OTHER | NEW YORK | EMPIRE BC |
25 | P4987688 | OTHER | NEW YORK | UHC OXFORD |