Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | N003940 | NY |
N | 213ES0000X | Sports Medicine | N003940 | NY |
N | 213ES0131X | Foot Surgery | 25MD00276700 | NJ |
Y | 213ES0131X | Foot Surgery | N003940 | NY |
NPI | 1033112248 |
---|---|
Provider Name | Dr. Corinne R Kauderer |
First Address | Brooklyn, NY 11228-2413 |
Second Address | Brooklyn, NY 11228-2413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2005 |
Last Update Date | 18/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00904430-4 | (05) | NY |
T51256 | (02) | NY |