Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 303392 | NY |
NPI | 1013065481 |
---|---|
Provider Name | Ms. Marian Carol Unterman |
First Address | New York, NY 10028-0508 |
Second Address | New York, NY 10001-3701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P93289 | (02) | NY |