Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 053255 | NY |
N | 1223E0200X | Endodontist | 21939 | MA |
NPI | 1033382403 |
---|---|
Provider Name | Dr. Courtney Kay Linenberg |
First Address | New York, NY 10023-3023 |
Second Address | New York, NY 10065-8404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2008 |
Last Update Date | 13/10/2009 |