Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 279995 | NY |
NPI | 1033472329 |
---|---|
Provider Name | Dr. Jemella Christina Raymore |
First Address | Huntington, NY 11743 |
Second Address | Huntington, NY 11743-2787 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2012 |
Last Update Date | 02/09/2016 |