Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174V00000X | Clinical Ethicist | 947780991 | NY |
NPI | 1770024069 |
---|---|
Provider Name | Miss Joan Elizabeth Dash |
First Address | Brooklyn, NY 11207-1214 |
Second Address | Hewlett, NY 11557-2034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2017 |
Last Update Date | 06/04/2019 |