Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 274346229 | NY |
Y | 207VX0201X | Gynecologic Oncologist | 292325 | NY |
NPI | 1043627581 |
---|---|
Provider Name | Dr. Jennifer Mceachron |
First Address | Brooklyn, NY 11203-2012 |
Second Address | Brooklyn, NY 11203-2012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2014 |
Last Update Date | 27/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
292325 | NYS MEDICAL LICENSE (01) | NY |