Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 252837 | NY |
Y | 207VE0102X | Reproductive Endocrinologist | 252837 | NY |
NPI | 1063647063 |
---|---|
Provider Name | Dr. Rani B Fritz |
First Address | Mineola, NY 11501-4243 |
Second Address | Southfield, MI 48034-1753 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 27/02/2019 |