Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 200822 | NY |
N | 111NI0900X | Internist | 200822 | NY |
N | 207RH0000X | Hematologist | 200822 | NY |
Y | 207RH0003X | Hematology & Oncology | 200822 | NY |
N | 207RX0202X | Medical Oncology | 200822 | NY |
NPI | 1417044504 |
---|---|
Provider Name | Gail J Roboz |
First Address | New York, NY 10022-6102 |
Second Address | New York, NY 10021-9800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 26/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02-095150 | (05) | NY |
A400048544 | MEDICARE ID (01) | NY |
H21892 | (02) | NY |