Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | F345803 | NY |
NPI | 1063088375 |
---|---|
Provider Name | Adrianna Lee Iannotti |
First Address | Pleasantville, NY 10570-2019 |
Second Address | Mount Kisco, NY 10549-3417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2021 |
Last Update Date | 28/05/2021 |