Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 277700 | NY |
NPI | 1386963791 |
---|---|
Provider Name | Dr. Jessica M Vernon |
First Address | New York, NY 10016-6539 |
Second Address | Bronx, NY 10451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2010 |
Last Update Date | 02/04/2021 |