Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 273796 | NY |
NPI | 1114283785 |
---|---|
Provider Name | Dr. Marcia Noreen Paddock |
First Address | New York, NY 10021-4872 |
Second Address | New York, NY 10021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2012 |
Last Update Date | 03/10/2018 |