Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213EP1101X | Primary Podiatric Medicine | N006553 | NY |
N | 2081S0010X | Sports Medicine | N006553 | NY |
N | 213ES0000X | Sports Medicine | N006553 | NY |
Y | 213ES0103X | Foot & Ankle Surgery | N006553 | NY |
NPI | 1437492642 |
---|---|
Provider Name | Dr. Elynor Giannin Perez |
First Address | Middletown, NY 10941-4028 |
Second Address | Newburgh, NY 12550-5003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2013 |
Last Update Date | 13/10/2020 |