Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | A130952 | CA |
NPI | 1497032106 |
---|---|
Provider Name | Eugenia Girda |
First Address | Brooklyn, NY 11229-1902 |
Second Address | Brooklyn, NY 11229-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2011 |
Last Update Date | 06/04/2017 |