Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 272517 | NY |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 272517 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 272517 | NY |
NPI | 1336383967 |
---|---|
Provider Name | Lauren Hannon Redler |
First Address | New York, NY 10032-3720 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2009 |
Last Update Date | 28/02/2017 |