Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 028305-1 | NY |
NPI | 1023553922 |
---|---|
Provider Name | Ms. Najja Rannie |
First Address | Brooklyn, NY 11226-6517 |
Second Address | Brooklyn, NY 11220-2508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2016 |
Last Update Date | 30/12/2016 |