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 | 207V00000X | Obstetrics & Gynecology | | 203270 | 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 | 1252243 | OTHER | NEW YORK | AETNA HMO PIN |
| 2 | 1902108 | OTHER | NEW YORK | UNITEDHEALTHCARE PIN |
| 3 | 837E11 | OTHER | NEW YORK | BCBS PIN |
| 4 | 5227732 | OTHER | NEW YORK | AETNA PPO PIN |
| 5 | 01750187 | MEDICAID | NEW YORK | |
| 6 | 16P0262 | OTHER | NEW YORK | NEW YORK PRESBYTERIAN PIN |
| 7 | 5C4605 | OTHER | NEW YORK | HEALTHNET PIN |
| 8 | 837E12 | OTHER | NEW YORK | BCBS PIN |
| 9 | 9151280001 | OTHER | NEW YORK | CIGNA PIN |
| 10 | 203270-N02 | OTHER | NEW YORK | HIP PIN |
| 11 | 204494354 | OTHER | NEW YORK | TAX ID |
| 12 | 0296324 | OTHER | NEW YORK | GROUP HEALTH INC PIN |
| 13 | 16P0261 | OTHER | NEW YORK | NEW YORK PRESBYTERIAN PIN |
| 14 | P885574 | OTHER | NEW YORK | OXFORD PIN |
