Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 296886 | NY |
NPI | 1023336195 |
---|---|
Provider Name | Miss Stephanie Kenfack Tankou |
First Address | New York, NY 10029-6501 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2010 |
Last Update Date | 10/12/2019 |