Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 281275 | NY |
NPI | 1467730069 |
---|---|
Provider Name | Dominique Pape |
First Address | Hawthorne, NY 10532-2140 |
Second Address | New York, NY 10016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/07/2011 |
Last Update Date | 25/09/2020 |