Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 292964 | NY |
NPI | 1194024877 |
---|---|
Provider Name | Paula Brady |
First Address | New York, NY 10019-1412 |
Second Address | New York, NY 10019-1412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2011 |
Last Update Date | 07/07/2021 |