Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 254140 | NY |
NPI | 1558500504 |
---|---|
Provider Name | Dr. Janienne Ellen Kondrich |
First Address | New York, NY 10016-9196 |
Second Address | New York, NY 10065-4870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2009 |
Last Update Date | 12/11/2019 |