Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 038611-1 | NY |
Y | 213EG0000X | General Practice | 038611-1 | NY |
NPI | 1003945494 |
---|---|
Provider Name | Dr. Lillian Alexandra Nawrocki |
First Address | Mount Sinai, NY 11766-2360 |
Second Address | Mount Sinai, NY 11766-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2007 |
Last Update Date | 08/07/2007 |