Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 186968 | NY |
N | 207VX0201X | Gynecologic Oncologist | 88267 | NM |
NPI | 1437166485 |
---|---|
Provider Name | Harriet Olivia Smith |
First Address | Bronx, NY 10461-2374 |
Second Address | Bronx, NY 10461-2374 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 21/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D42253 | (02) | NY |