Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 151049 | NY |
NPI | 1023065208 |
---|---|
Provider Name | Ludvika Hoppenstand |
First Address | Garden City, NY 11530-2133 |
Second Address | Forest Hills, NY 11375-6625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 16/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01838944 | (05) | NY |
E42018 | (02) | NY |