Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 201717-1 | NY |
NPI | 1336178219 |
---|---|
Provider Name | Patricia Devine |
First Address | Bronxville, NY 10708-3403 |
Second Address | Bronxville, NY 10708-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 14/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F75480 | (02) | NY |