Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 279016-1 | NY |
N | 111NI0900X | Internist | 279016-1 | NY |
N | 207R00000X | Internist | MD60392788 | WA |
N | 111NI0900X | Internist | MD60392788 | WA |
Y | 207RX0202X | Medical Oncology | 279016 | NY |
NPI | 1083904551 |
---|---|
Provider Name | Dr. Rachael Ann Safyan |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2011 |
Last Update Date | 27/06/2018 |