Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 253730 | NY |
NPI | 1164752788 |
---|---|
Provider Name | Dr. Monica Shekher-Kapoor |
First Address | Great Neck, NY 11021-1332 |
Second Address | Great Neck, NY 11021-1332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2010 |
Last Update Date | 19/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
253730 | (05) | NY |