Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 173483 | NY |
N | 2080P0208X | Pediatric Infectious Diseases | 173483 | NY |
NPI | 1518019835 |
---|---|
Provider Name | Dr. Joanna Dobroszycki |
First Address | New York, NY 10025-6133 |
Second Address | Bronx, NY 10461-1138 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01696973 | (05) | NY |