Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 200091 | NY |
NPI | 1023065158 |
---|---|
Provider Name | Lisa Kump-Checchio |
First Address | New York, NY 10016-3214 |
Second Address | New York, NY 10016-3214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 11/01/2018 |