Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | DUNNT1 | NY |
NPI | 1851539399 |
---|---|
Provider Name | Dr. Teresa Dunn |
First Address | Stony Brook, NY 11790-1919 |
Second Address | Stony Brook, NY 11790-1919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2009 |
Last Update Date | 21/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DUNNT1 | NYS (01) | NY |