Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | ME122598 | FL |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 28849401 | NY |
NPI | 1346530151 |
---|---|
Provider Name | Emily Blanton |
First Address | New York, NY 10038-4831 |
Second Address | New York, NY 10038-4831 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2011 |
Last Update Date | 13/07/2018 |