Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 225856 | NY |
N | 207RX0202X | Medical Oncology | 225856 | NY |
NPI | 1205867983 |
---|---|
Provider Name | Celia L Grosskreutz |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 16/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H70433 | (02) |