Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 059191 | NY |
NPI | 1013309251 |
---|---|
Provider Name | Dr. Brittany Schorr |
First Address | Huntington, NY 11743-3972 |
Second Address | Huntington, NY 11743-3972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2015 |
Last Update Date | 08/08/2017 |