Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | 159905 | NY |
NPI | 1073650545 |
---|---|
Provider Name | Emilia Mia Sordillo |
First Address | New York, NY 10021-0217 |
Second Address | New York, NY 10025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |