Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 147647 | NY |
NPI | 1235346693 |
---|---|
Provider Name | Dr. Isabel Cunningham |
First Address | New York, NY 10023-2675 |
Second Address | Jamaica, NY 11432-1121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 06/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B80579 | (02) | NY |