Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 004565 | NY |
N | 103T00000X | Psychologist | 004565 | NY |
Y | 103TH0100X | Health Service | 004565 | NY |
NPI | 1609945211 |
---|---|
Provider Name | Dr. Mary Blanche Cox |
First Address | New York, NY 10028 |
Second Address | New York, NY 10028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 23/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004655264 | AETNA (01) | |
V4702 | EMPIRE BCBS (01) | NY |