Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 108611 | NY |
NPI | 1619906427 |
---|---|
Provider Name | Dr. Charlotte Cunningham-Rundles |
First Address | New York, NY 10029 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 26/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B17857 | (02) |