Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 284247 | NY |
NPI | 1073958112 |
---|---|
Provider Name | Aliza Esther Gardenswartz |
First Address | Bergenfield, NJ 07621-3920 |
Second Address | Hawthorne, NY 10532-2140 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2013 |
Last Update Date | 09/07/2020 |