Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 248471 | NY |
NPI | 1013194273 |
---|---|
Provider Name | Dr. Christine Lynn Proudfit |
First Address | New York, NY 10016-6058 |
Second Address | New York, NY 10016-6058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 08/06/2021 |