Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 304762 | NY |
NPI | 1053792952 |
---|---|
Provider Name | Julieta Sanchez-Ruiz |
First Address | New York, NY 10019-5095 |
Second Address | Brooklyn, NY 11203-2012 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2015 |
Last Update Date | 10/12/2020 |