Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 295513 | NY |
N | 207VE0102X | Reproductive Endocrinologist | MD09484 | RI |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 295513 | NY |
NPI | 1427031061 |
---|---|
Provider Name | Anne S Devi Wold |
First Address | New York, NY 10022-3759 |
Second Address | New York, NY 10002-3411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 01/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001357252 | (05) | CT |
G54998 | (02) |