Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 112043 | NY |
NPI | 1003812173 |
---|---|
Provider Name | Dr. Jean Brookhart Case |
First Address | New York, NY 10022-1009 |
Second Address | New York, NY 10022-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H45739 | (02) | NY |