Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 071740 | NY |
NPI | 1831253681 |
---|---|
Provider Name | Dr. Caroline G Bauman |
First Address | White Plains, NY 10605 |
Second Address | White Plains, NY 10605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00491194 | (05) | NY |
D47737 | (02) |