Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | P75186 | NY |
NPI | 1184938896 |
---|---|
Provider Name | Beatrice Cormier |
First Address | New York, NY 10065-9308 |
Second Address | New York, NY 10065-9308 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2010 |
Last Update Date | 05/08/2010 |