Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 294196 | NY |
NPI | 1013334093 |
---|---|
Provider Name | Dr. Mitalee Patil Christman |
First Address | New York, NY 10007-1805 |
Second Address | New York, NY 10016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 30/07/2018 |