Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD60150963 | WA |
N | 208000000X | Pediatrician | MT188834 | PA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 272097 | NY |
NPI | 1235330283 |
---|---|
Provider Name | Cori Michelle Abikoff |
First Address | White Plains, NY 10601-1214 |
Second Address | Valhalla, NY 10595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 13/01/2014 |