Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 143390 | NY |
NPI | 1003872995 |
---|---|
Provider Name | Rosita Ng Aquino |
First Address | Norwich, NY 13815 |
Second Address | Norwich, NY 13815-3330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 14/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00685507 | (05) | NY |
B82106 | (02) |