Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 209572 | NY |
NPI | 1003824046 |
---|---|
Provider Name | Josiane Lajoie |
First Address | New York, NY 10017-6222 |
Second Address | New York, NY 10016-4852 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 16/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02361888 | (05) | NY |
I00496 | (02) |