Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 120126 | NY |
NPI | 1003954785 |
---|---|
Provider Name | Mariana Zane |
First Address | New York, NY 10016-6460 |
Second Address | New York, NY 10003-9502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2007 |
Last Update Date | 08/07/2007 |