Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 307487 | NY |
NPI | 1023524600 |
---|---|
Provider Name | Romana Kanta |
First Address | New York, NY 10041-0004 |
Second Address | Brooklyn, NY 11207-2428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2017 |
Last Update Date | 04/12/2020 |