Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 222307 | NY |
NPI | 1619988680 |
---|---|
Provider Name | Corinne E. Horn |
First Address | New York, NY 10016-3453 |
Second Address | New York, NY 10016-3453 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 25/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
222307 | LISENCE (01) | NY |
I44780 | (02) |