Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 261332 | NY |
N | 207RX0202X | Medical Oncology | 261332 | NY |
NPI | 1437393592 |
---|---|
Provider Name | Maryann J Kwa |
First Address | New York, NY 10016-3013 |
Second Address | New York, NY 10016-9196 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2009 |
Last Update Date | 06/11/2020 |