Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 173581 | NY |
N | 207VE0102X | Reproductive Endocrinologist | H9059 | TX |
N | 207VX0000X | Obstetrician | H9059 | TX |
NPI | 1154487403 |
---|---|
Provider Name | Dr. Janice Renee Crowder |
First Address | White Plains, NY 10601-4607 |
Second Address | White Plains, NY 10601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 21/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
084293201 | (05) | TX |
F04609 | (02) | TX |