Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 158316 | NY |
NPI | 1215027404 |
---|---|
Provider Name | Dr. Kathleen Elizabeth Droesch |
First Address | Avon, CT 06001-2066 |
Second Address | Melville, NY 11747-3193 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 09/01/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B11799 | (02) | NY |