Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 172918 | NY |
Y | 207VG0400X | Gynecologist | 172918 | NY |
N | 207VX0000X | Obstetrician | 172918 | NY |
NPI | 1033295761 |
---|---|
Provider Name | Arlene Kaelber |
First Address | Bohemia, NY 11716-4630 |
Second Address | Bohemia, NY 11716-4630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 30/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A61923 | (02) | NY |