Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 024125 | NY |
NPI | 1033416987 |
---|---|
Provider Name | Yohanna Filpo |
First Address | Bronx, NY 10459-2417 |
Second Address | Bronx, NY 10459-2417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2011 |
Last Update Date | 11/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024125 | LICENSE (01) | NY |