Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 163063 | NY |
NPI | 1225048853 |
---|---|
Provider Name | Dr. Rosa Maria Razaboni |
First Address | New York, NY 10021-5847 |
Second Address | New York, NY 10021-5847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D91909 | (02) | NY |