Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 057800-1 | NY |
NPI | 1063753242 |
---|---|
Provider Name | Jin-Hwei Julianna Bair |
First Address | Brooklyn, NY 11225-1444 |
Second Address | Brooklyn, NY 11225-1444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2013 |
Last Update Date | 12/05/2016 |