Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 257516 | NY |
Y | 207YP0228X | Pediatric Otolaryngology | 257516 | NY |
NPI | 1487656849 |
---|---|
Provider Name | Dr. Tamekia Wakefield |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Bayside, NY 11360-1949 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 04/04/2019 |