Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 140591 | NY |
NPI | 1003984717 |
---|---|
Provider Name | Ms. Eve Rosemarin |
First Address | Mount Vernon, NY 10550 |
Second Address | Mount Vernon, NY 10550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 17/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00657236 | (05) | NY |