Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 247549 | NY |
NPI | 1104086925 |
---|---|
Provider Name | Dr. Aimee Marie Crago |
First Address | New York, NY 10065 |
Second Address | New York, NY 10065-6306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2008 |
Last Update Date | 16/06/2008 |