Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | MA49049 | NJ |
NPI | 1013098763 |
---|---|
Provider Name | Dr. Judith Ann Volpe |
First Address | New York, NY 10031-3134 |
Second Address | Ny, NY 10019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 09/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
EO4051 | (02) |