Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207VG0400X | Obstetrics & Gynecology | Gynecology | 223580 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 0203769 | OTHER | NEW YORK | GHIPPO,PREMIER PPO,FLEX S |
| 2 | P00000053444 | OTHER | NEW YORK | GHI HMO |
| 3 | 563C02 | OTHER | NEW YORK | EMPIRE BCBS PPO,DIRECT PO |
| 4 | 6336351 | OTHER | NEW YORK | CIGNA HMO,PPO,INDEMNITY |
| 5 | 4C6088 | OTHER | NEW YORK | HEALTHNET, HMO,PLATINUM P |
| 6 | 2099295 | OTHER | NEW YORK | FIRST HEALTH PPO |
| 7 | 2295508 | OTHER | NEW YORK | UHC.HMO.POS,PPO,EPO,INDEM |
| 8 | 119427P | OTHER | NEW YORK | HIP, HMO,POS,ACCESS,HEALT |
| 9 | P2889321 | OTHER | NEW YORK | OXF FREEDOM,OX MEDICARE |
| 10 | 7390373 | OTHER | NEW YORK | AETNA POS,EPO,INDEM |
| 11 | H68788 | MEDICARE UPIN | NEW YORK | |
| 12 | 563C01 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | |
| 13 | 02318610 | MEDICAID | NEW YORK | |
| 14 | 2295506 | OTHER | NEW YORK | MSNYU HEALTH TOP TIER |
| 15 | 3076072 | OTHER | NEW YORK | AETNA HMO |
