Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 021144 | NY |
NPI | 1427571082 |
---|---|
Provider Name | Miss Molly Dara Greenberg |
First Address | New York, NY 10013-3040 |
Second Address | New York, NY 10065-6007 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2017 |
Last Update Date | 27/09/2017 |