Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 149448 | NY |
N | 2080P0207X | Pediatric Hematology-Oncologist | 1494481 | NY |
N | 208D00000X | General Practice Physician | 1494481 | NY |
NPI | 1073650792 |
---|---|
Provider Name | Dr. Emma Haydee Saenz Guevara |
First Address | Forest Hills, NY 11375-5934 |
Second Address | Jamaica, NY 11418-2897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 14/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F53947 | (02) | NY |