Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 279708-1 | NY |
NPI | 1043577067 |
---|---|
Provider Name | Dr. Christina Pentlow |
First Address | Forest Hills, NY 11375-4110 |
Second Address | New Hyde Park, NY 11042-1084 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2012 |
Last Update Date | 12/08/2017 |