Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | F301708 | NY |
Y | 363L00000X | Nurse Practitioner | F301708 | NY |
NPI | 1841231123 |
---|---|
Provider Name | Dianne T Lapointe-Rudowbs |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 24/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01945211 | (05) | NY |
S69741 | (02) | NY |