Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 146286 | NY |
N | 111NI0900X | Internist | 146286 | NY |
N | 207U00000X | Nuclear Medicine Specialist | 146286 | NY |
NPI | 1366868374 |
---|---|
Provider Name | Dr. Paula Rothaus |
First Address | New York, NY 10021-4685 |
Second Address | New York, NY 10021-4685 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2014 |
Last Update Date | 14/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E08165 | (02) | NY |