Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 179632 | NY |
NPI | 1023130739 |
---|---|
Provider Name | Anita Cela |
First Address | New York, NY 10021-6001 |
Second Address | New York, NY 10021-6001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F53620 | (02) | NY |