Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 284065 | NY |
Y | 213ES0000X | Sports Medicine | 284065 | NY |
NPI | 1497094270 |
---|---|
Provider Name | Eliana Cardozo |
First Address | New York, NY 10029-6501 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2013 |
Last Update Date | 12/01/2018 |