Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | P83216 | NY |
NPI | 1689924375 |
---|---|
Provider Name | Dr. Kasmintan Alexandra Schrader |
First Address | New York, NY 10021-9802 |
Second Address | New York, NY 10021-9802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2012 |
Last Update Date | 11/09/2012 |