Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 190527 | NY |
N | 207RX0202X | Medical Oncology | 190527 | NY |
NPI | 1033127428 |
---|---|
Provider Name | Dr. Beth Popp |
First Address | New York, NY 10087-8082 |
Second Address | New York, NY 10011-5903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 11/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03479307 | (05) | NY |
E47564 | (02) | NY |