Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 136915 | NY |
NPI | 1164481628 |
---|---|
Provider Name | Judith Clare Ahronheim |
First Address | Brooklyn, NY 11201-4138 |
Second Address | Brooklyn, NY 11203-2056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E48955 | (02) | NY |