Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 253056 | NY |
NPI | 1043478092 |
---|---|
Provider Name | Dr. Caryn Marie St Clair |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2008 |
Last Update Date | 06/09/2017 |