Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 304499-01 | NY |
NPI | 1053920793 |
---|---|
Provider Name | Kylee Maclachlan |
First Address | New York, NY 10075-2241 |
Second Address | New York, NY 10075-2241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2020 |
Last Update Date | 29/07/2020 |