Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 299618 | NY |
Y | 208600000X | Surgeon | 299618 | NY |
NPI | 1003253121 |
---|---|
Provider Name | Dr. Megan Elizabeth Jenkins |
First Address | New York, NY 10065-7662 |
Second Address | New York, NY 10016-6402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2013 |
Last Update Date | 01/03/2021 |