Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | OS12883 | FL |
N | 208000000X | Pediatrician | 34.009851 | OH |
NPI | 1063668226 |
---|---|
Provider Name | Leah Chernin |
First Address | Clearwater, FL 33761-2022 |
Second Address | Clearwater, FL 33761-2022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2008 |
Last Update Date | 18/08/2014 |