Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 269769 | NY |
NPI | 1417190653 |
---|---|
Provider Name | Danielle Marie Rooney |
First Address | Latham, NY 12110-2461 |
Second Address | Latham, NY 12110-2490 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2009 |
Last Update Date | 16/07/2020 |