Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 300550 | NY |
N | 208200000X | Surgeon | 036.143004 | IL |
N | 208600000X | Surgeon | 036.143004 | IL |
NPI | 1366718520 |
---|---|
Provider Name | Rebecca Craig-Schapiro |
First Address | New York, NY 10065 |
Second Address | New York, NY 10065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2012 |
Last Update Date | 26/10/2019 |