Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 159021 | NY |
NPI | 1053347195 |
---|---|
Provider Name | Anat B Warren |
First Address | Garden City, NY 11530-2133 |
Second Address | Jamaica, NY 11432-4727 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 01/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01839129 | (05) | NY |
B58671 | (02) | NY |