Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | F431512 | NY |
NPI | 1013556224 |
---|---|
Provider Name | Alexis Weinman Ohara |
First Address | New York, NY 10128-0645 |
Second Address | New York, NY 10011-5903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2020 |
Last Update Date | 06/01/2020 |