Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 207144-1 | NY |
N | 208200000X | Surgeon | 2071441 | NY |
N | 208600000X | Surgeon | 2071441 | NY |
NPI | 1487606307 |
---|---|
Provider Name | Dr. Jean Crawford Emond |
First Address | New York, NY 10087-7036 |
Second Address | New York, NY 10032-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 01/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01165517 | (05) | NY |