Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 264750 | NY |
NPI | 1013166461 |
---|---|
Provider Name | Tamatha Britt Fenster |
First Address | New York, NY 10028-4528 |
Second Address | New York, NY 10028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2008 |
Last Update Date | 05/03/2019 |