Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 196753 | NY |
NPI | 1356380828 |
---|---|
Provider Name | Dr. Cynthia Jerome |
First Address | Tarrytown, NY 10591-5139 |
Second Address | White Plains, NY 10605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 02/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G55661 | (02) | NY |