Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 213835-1 | NY |
NPI | 1578564266 |
---|---|
Provider Name | Lisa Dabney |
First Address | Philadelphia, PA 19195-2243 |
Second Address | New York, NY 10019-8022 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2005 |
Last Update Date | 30/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02103060 | (05) | NY |
H33714 | (02) | NY |