Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 289072 | NY |
N | 207V00000X | Obstetrician & Gynecologist | MT203588 | PA |
Y | 207VE0102X | Reproductive Endocrinologist | 289072 | NY |
NPI | 1104262153 |
---|---|
Provider Name | Lilli Dash Zimmerman |
First Address | New York, NY 10019-1412 |
Second Address | New York, NY 10019-1412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2013 |
Last Update Date | 15/07/2021 |