Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 281268 | NY |
NPI | 1194081596 |
---|---|
Provider Name | Dr. Roxanne Carbonell Oriel |
First Address | Great Neck, NY 11021-5335 |
Second Address | Great Neck, NY 11021-5335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2012 |
Last Update Date | 01/09/2015 |