Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 189878 | NY |
NPI | 1043399454 |
---|---|
Provider Name | Dr. Maureen O'brien Moomjy |
First Address | New York, NY 10022-1791 |
Second Address | New York, NY 10022-1791 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2006 |
Last Update Date | 05/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F77351 | (02) |