Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD-039196-E | PA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 266742 | NY |
NPI | 1285650242 |
---|---|
Provider Name | Dr. Carmen J. Sultana |
First Address | Bronx, NY 10451-5504 |
Second Address | Bronx, NY 10451-5504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 04/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001589395 | (05) | PA |
7609205 | (05) | NJ |