Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 211860 | NY |
Y | 207RX0202X | Medical Oncology | 211860 | NY |
NPI | 1164493102 |
---|---|
Provider Name | Nicole Lamanna |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2006 |
Last Update Date | 22/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I19920 | (02) |