Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 293134 | NY |
NPI | 1013336551 |
---|---|
Provider Name | Dr. Lucia K Somberg |
First Address | Bronx, NY 10461-1138 |
Second Address | Bronx, NY 10466 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2014 |
Last Update Date | 01/07/2018 |