Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 282187 | NY |
NPI | 1578839676 |
---|---|
Provider Name | Ann Tran |
First Address | White Plains, NY 10601-1553 |
Second Address | White Plains, NY 10601-1559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 22/11/2019 |