Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 235175 | NY |
NPI | 1124280318 |
---|---|
Provider Name | Rachel Beth Wellner |
First Address | New York, NY 10009-8925 |
Second Address | New York, NY 10013-3411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 04/01/2012 |