Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 202060 | NY |
NPI | 1003850975 |
---|---|
Provider Name | Dr. Kafui A Demasio |
First Address | White Plains, NY 10603-0257 |
Second Address | Hartsdale, NY 10530-1843 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 29/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G73113 | (02) |