Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 205942 | NY |
NPI | 1033149547 |
---|---|
Provider Name | Patricia A Shi |
First Address | New York, NY 10065-6275 |
Second Address | New York, NY 10065-6275 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 28/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02339288 | (05) | NY |
A400042211 | MEDICARE BILLING CODE (01) | |
H80467 | (02) |