Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 297294 | NY |
N | 2086S0120X | Pediatric Surgery | 297294 | NY |
NPI | 1558548719 |
---|---|
Provider Name | Dr. Carrie R Muh |
First Address | Hawthorne, NY 10532-2140 |
Second Address | Valhalla, NY 10595 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 06/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
297294 | NYS LICENSE (01) | NY |
A400213446 | MEDICARE APS (01) | NY |