Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 120283 | NY |
NPI | 1861442360 |
---|---|
Provider Name | Dr. Judith Pleasure Willner |
First Address | Tenafly, NJ 07670-2226 |
Second Address | New York, NY 10029-6503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B78791 | (02) |