Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 176736-1 | NY |
NPI | 1073587374 |
---|---|
Provider Name | Sharon Patrick |
First Address | Philadelphia, PA 19195-2243 |
Second Address | New York, NY 10021-7215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 30/01/2013 |