Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 280669 | NY |
NPI | 1538451786 |
---|---|
Provider Name | Dr. Alexis K Masbou |
First Address | Rye Brook, NY 10573-1369 |
Second Address | Purchase, NY 10577-2574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2011 |
Last Update Date | 26/07/2021 |