Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 211445 | NY |
N | 111NI0900X | Internist | 211445 | NY |
Y | 207RH0002X | Hospice and Palliative Medicine | 211445 | NY |
NPI | 1396718094 |
---|---|
Provider Name | Sarah Mcdavitt Egan |
First Address | Brooklyn, NY 11220-4718 |
Second Address | Brooklyn, NY 11220-4718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2006 |
Last Update Date | 07/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H71626 | (02) | NY |