Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 248410 | NY |
NPI | 1518138395 |
---|---|
Provider Name | Dr. Jennifer Nicole Osipoff |
First Address | Stony Brook, NY 11790-0989 |
Second Address | East Setauket, NY 11733-3465 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2008 |
Last Update Date | 21/04/2015 |