Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 145497 | NY |
NPI | 1003854621 |
---|---|
Provider Name | Jennifer N Lafontant |
First Address | Bronx, NY 10462-3388 |
Second Address | Bronx, NY 10462-3388 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 11/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00795271 | (05) | NY |