Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 940269 | NY |
NPI | 1023383726 |
---|---|
Provider Name | Sarah Taber |
First Address | New York, NY 10012-1468 |
Second Address | New York, NY 10021-4898 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2012 |
Last Update Date | 18/05/2021 |