Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | P05876 | NY |
NPI | 1093239444 |
---|---|
Provider Name | Gaya Spolverato |
First Address | New York, NY 10022-1514 |
Second Address | New York, NY 10022-1514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2017 |
Last Update Date | 27/07/2017 |