Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 270291 | NY |
Y | 2080P0214X | Pediatric Pulmonologist | 270291 | NY |
NPI | 1275879231 |
---|---|
Provider Name | Dr. Emily Rose Concepcion |
First Address | Brooklyn, NY 11203-2012 |
Second Address | Brooklyn, NY 11203-2012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2012 |
Last Update Date | 18/11/2020 |