Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 011683 | NY |
NPI | 1104180249 |
---|---|
Provider Name | Dr. Heather Suzanne York |
First Address | Annapolis Junction, MD 20701-1125 |
Second Address | Annapolis Junction, MD 20701-1125 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2012 |
Last Update Date | 03/07/2012 |