Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 121380 | NY |
NPI | 1124165907 |
---|---|
Provider Name | Marie-Jeanne Louise Castadot |
First Address | New York, NY 10028-0134 |
Second Address | New York, NY 10028-0134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00567991 | (05) | NY |
CO9551 | (02) | NY |