Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 257601 | NY |
NPI | 1073773297 |
---|---|
Provider Name | Deirdre Cocks Eschler |
First Address | Stony Brook, NY 11790-0989 |
Second Address | Stony Brook, NY 11794-8154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 30/04/2014 |