Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 22DI02289900 | NJ |
N | 213EG0000X | General Practice | 22DI02289900 | NJ |
Y | 1223P0106X | Oral and Maxillofacial Pathology | 053889-1 | NY |
NPI | 1134312184 |
---|---|
Provider Name | Elizabeth Philipone |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3725 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2007 |
Last Update Date | 25/09/2009 |