Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 303660 | NY |
NPI | 1083009898 |
---|---|
Provider Name | Latoya Freeman-Beman |
First Address | New York, NY 10003-2925 |
Second Address | New York, NY 10003-3314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 06/08/2020 |