Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 136618 | CA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 303171 | LA |
NPI | 1447574470 |
---|---|
Provider Name | Celeste Christina Gary |
First Address | New Orleans, LA 70112-1349 |
Second Address | New Orleans, LA 70112-1349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2010 |
Last Update Date | 07/10/2016 |