Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 112682 | NY |
N | 2080P0205X | Pediatric Endocrinologist | 112682 | NY |
NPI | 1063565067 |
---|---|
Provider Name | Dr. Geoffrey Plimsoll Redmond |
First Address | New York, NY 10021-3556 |
Second Address | New York, NY 10021-3556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E66513 | (02) |