Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 259864-1 | NY |
NPI | 1316112238 |
---|---|
Provider Name | Miriam Krinsky-Diener |
First Address | Cedarhurst, NY 11516-2237 |
Second Address | Cedarhurst, NY 11516-2237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 25/06/2015 |