Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 259498 | NY |
NPI | 1033353610 |
---|---|
Provider Name | Kathleen Brennan |
First Address | New York, NY 10024-1626 |
Second Address | New York, NY 10024-1626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2009 |
Last Update Date | 26/05/2016 |