Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 248420 | NY |
N | 207V00000X | Obstetrician & Gynecologist | MD429006 | PA |
NPI | 1013943547 |
---|---|
Provider Name | Florence Jean-Louis |
First Address | Middletown, NY 10940-2650 |
Second Address | Middletown, NY 10940-2650 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 26/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101664732 | (05) | PA |
A400086439 | MEDICARE (01) | NY |
I57815 | (02) |