Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 229826 | NY |
NPI | 1245236553 |
---|---|
Provider Name | Dr. Anne Ferris |
First Address | New York, NY 10087-5070 |
Second Address | New York, NY 10011-8202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02479243 | (05) | NY |
I00595 | (02) | NY |