Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | PENDING | NY |
NPI | 1073286910 |
---|---|
Provider Name | Temima Loeb |
First Address | Monsey, NY 10952-1035 |
Second Address | New York, NY 10019-1100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2021 |
Last Update Date | 27/07/2021 |