Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 0480551 | NY |
NPI | 1205919347 |
---|---|
Provider Name | Dr. Emily Y Ro |
First Address | New York, NY 10011-1620 |
Second Address | New York, NY 10011-1620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 08/07/2007 |