Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 236260 | NY |
Y | 207RX0202X | Medical Oncology | 236260 | NY |
NPI | 1407946247 |
---|---|
Provider Name | Yelena Z Ginzburg |
First Address | New York, NY 10029-6504 |
Second Address | New York, NY 10029-6030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 01/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02662462 | (05) | NY |