Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 156638-1 | NY |
NPI | 1255532388 |
---|---|
Provider Name | Ann L Engelland |
First Address | New York, NY 10032-7459 |
Second Address | New York, NY 10027-6909 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 18/04/2013 |