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 | | 160977-1 | 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 | 98526516 | OTHER | NEW YORK | DEVON HEALTH |
| 2 | 150069 | OTHER | NEW YORK | UHC,HMO,POS,PPO,EPO,INDEM |
| 3 | 150069 | OTHER | NEW YORK | UHC MSNYU HEALTH TOP TIER |
| 4 | 05E761 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | |
| 5 | 01015109 | MEDICAID | NEW YORK | |
| 6 | 000000076867 | OTHER | NEW YORK | GHI, HMO |
| 7 | 2036272 | OTHER | NEW YORK | AETNA, HMO |
| 8 | 4199095 | OTHER | NEW YORK | AETNA,PPO,POS,EPO,INDEMNI |
| 9 | 4C1627 | OTHER | NEW YORK | HEALTHNET,HMO,PLATINUM PP |
| 10 | 0558397 | OTHER | NEW MEXICO | CIGNA, HMO,PPO,INDEMNITY |
| 11 | 05E761 | OTHER | NEW YORK | EMPIRE BCBS, PPO,DIRECT I |
| 12 | 98526516 | OTHER | NEW YORK | 1199 NBF MEMBER CHOICE |
| 13 | 43971981 | OTHER | NEW YORK | MULTIPLAN PPO |
| 14 | 750039 | OTHER | NEW YORK | BEECHSTREET,MEDICHOICE PP |
| 15 | 05E761 | MEDICARE UPIN | NEW YORK | |
| 16 | 0032089 | OTHER | NEW YORK | GHI,CBP,PPO,PREMIER PPO,F |
| 17 | 138772P | OTHER | NEW YORK | HIP HMO,POC,ACCESS HEALTH |
| 18 | NS16556 | OTHER | NEW YORK | OXF, FREEDOM,OX MEDICARE |
