Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 303986 | NY |
NPI | 1285079467 |
---|---|
Provider Name | Samantha Corey Do |
First Address | New York, NY 10128-1233 |
Second Address | New York, NY 10128-1233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2013 |
Last Update Date | 07/09/2021 |