Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 176227 | NY |
N | 207VG0400X | Gynecologist | 176227 | NY |
NPI | 1093815961 |
---|---|
Provider Name | Dr. Jessica Rosenberg Brown |
First Address | New York, NY 10075-1842 |
Second Address | New York, NY 10075-1842 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 20/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F69076 | (02) |