Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 142239 | NY |
NPI | 1053383612 |
---|---|
Provider Name | Dr. Zenaida Young |
First Address | New Rochelle, NY 10801-5028 |
Second Address | New Rochelle, NY 10801-5028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 10/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00491438 | (05) | NY |
B13554 | (02) |