Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 139648 | NY |
NPI | 1285628818 |
---|---|
Provider Name | Dr. Susan Hyman Pincus |
First Address | New York, NY 10013-2000 |
Second Address | New York, NY 10003-1503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D96943 | (02) | NY |