Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 239476 | NY |
NPI | 1073774980 |
---|---|
Provider Name | Dr. Elizabeth Lauren Alexander |
First Address | New York, NY 10065-4805 |
Second Address | New York, NY 10065-4805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 19/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
239476 | NYS LICENSE NUMBER (01) | NY |