Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 234686 | NY |
NPI | 1073732848 |
---|---|
Provider Name | Dr. Reeja Vembenil |
First Address | White Plains, NY 10605-1416 |
Second Address | Valhalla, NY 10595-1646 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |