Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 127109 | NY |
NPI | 1508818071 |
---|---|
Provider Name | Karen L David |
First Address | New York, NY 10029-7404 |
Second Address | New York, NY 10029-7404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 16/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00250142 | (05) | NY |
G62764 | (02) |