Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 104864 | NY |
NPI | 1043234693 |
---|---|
Provider Name | Harriette Rosen Mogul |
First Address | Valhalla, NY 10595-1326 |
Second Address | Valhalla, NY 10595-1326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 01/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01415443 | (05) | NY |
110063317 | RAILROAD MEDICARE (01) | |
WP341 | OXFORD (01) | NY |