Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 258665 | NY |
Y | 207K00000X | Allergist & Immunologist | 25MA08847700 | NJ |
NPI | 1114122033 |
---|---|
Provider Name | Dr. Sara H Axelrod-Malagold |
First Address | Tarrytown, NY 10591-5139 |
Second Address | East Brunswick, NJ 08816-5419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 07/10/2020 |