Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 260292 | NY |
Y | 2080A0000X | Adolescent Medicine | 260292 | NY |
NPI | 1104130483 |
---|---|
Provider Name | Dr. Julie Nagpal |
First Address | New York, NY 10128-5604 |
Second Address | New York, NY 10128-5604 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2010 |
Last Update Date | 08/07/2014 |