Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 2016-02363 | NC |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 286202 | NY |
Y | 207YP0228X | Pediatric Otolaryngology | 286202 | NY |
NPI | 1669762019 |
---|---|
Provider Name | Dr. Ann Woodhouse Plum |
First Address | Brooklyn, NY 11203-2012 |
Second Address | Brooklyn, NY 11203 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2011 |
Last Update Date | 29/06/2018 |