Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 136086 | NY |
NPI | 1942422837 |
---|---|
Provider Name | Dr. Pauline Brenholz |
First Address | White Plains, NY 10605 |
Second Address | White Plains, NY 10605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |