Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 207368 | NY |
N | 111NI0900X | Internist | 207368 | NY |
N | 207RG0300X | Geriatric Medicine | 207368 | NY |
Y | 207RH0002X | Hospice and Palliative Medicine | 207368 | NY |
NPI | 1326056169 |
---|---|
Provider Name | Dr. Stacie Pinderhughes |
First Address | New York, NY 10035-2709 |
Second Address | New York, NY 10035-2709 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 21/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01934165 | (05) | NY |
545996 | (05) | AZ |
G89611 | (02) |