Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 205603 | NY |
NPI | 1093802183 |
---|---|
Provider Name | Veronica Lofaso |
First Address | New York, NY 10021-2304 |
Second Address | New York, NY 10021-2304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 19/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G55639 | (02) | NY |