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 | | MD12597 | RHODE ISLAND | 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 | 132712016 | OTHER | NEW YORK | CIGNA |
| 2 | 132712016 | OTHER | NEW YORK | PRIVATE HLTHCARE SYSTEMS |
| 3 | 132712016 | OTHER | NEW YORK | LOCAL 60 |
| 4 | 132712016 | OTHER | NEW YORK | POMCO |
| 5 | 132712016 | OTHER | NEW YORK | UNITED HEALTHCARE |
| 6 | 0D0915 | OTHER | NEW YORK | HEALTHNET |
| 7 | 007060015 | MEDICARE PIN | RHODE ISLAND | |
| 8 | 132712016 | OTHER | NEW YORK | UHC-THE EMPIRE PLAN |
| 9 | 46A001 | OTHER | NEW YORK | BLUE CROSS BLUE SHIELD |
| 10 | 4625503 | OTHER | NEW YORK | AETNA |
| 11 | 132712016 | OTHER | NEW YORK | MAGNACARE |
| 12 | WP231 | OTHER | NEW YORK | OXFORD HEALTH PLANS |
| 13 | C10096 | MEDICARE UPIN | RHODE ISLAND | |
