Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 289239 | NY |
Y | 207RP1001X | Pulmonary Disease | 289239 | NY |
NPI | 1083913313 |
---|---|
Provider Name | Dr. Alexandra Christin Racanelli |
First Address | New York, NY 10021-0012 |
Second Address | New York, NY 10021-4872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2011 |
Last Update Date | 14/09/2020 |