Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist | 174400000X | NY |
NPI | 1891050399 |
---|---|
Provider Name | Ms. Iris Muniz |
First Address | Brooklyn, NY 11234-3725 |
Second Address | Brooklyn, NY 11234-3325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2012 |
Last Update Date | 10/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
930976396 | GHI (01) | NY |