Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 181677 | NY |
NPI | 1528392495 |
---|---|
Provider Name | Dr. Kathryn Jane Elliott |
First Address | New York City, NY 10029-6574 |
Second Address | New York City, NY 10029-6574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2009 |
Last Update Date | 25/09/2009 |