Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | D83827 | MD |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 295730 | NY |
NPI | 1164789145 |
---|---|
Provider Name | Lana Nirenstein |
First Address | Jackson Heights, NY 11372-1049 |
Second Address | Jackson Heights, NY 11372-1049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2012 |
Last Update Date | 19/03/2019 |