Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 183988 | NY |
NPI | 1134128945 |
---|---|
Provider Name | Dr. Laura J Mechanic |
First Address | White Plains, NY 10604-2901 |
Second Address | White Plains, NY 10604-2901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 16/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01497218 | (05) | NY |
F24549 | (02) | NY |