Professional Documents
Culture Documents
National Provider Identifier (Npi) Form: Section 1 - Basic Information
National Provider Identifier (Npi) Form: Section 1 - Basic Information
National Provider Identifier (Npi) Form: Section 1 - Basic Information
COM
NATIONAL PROVIDER IDENTIFIER (NPI) FORM
Information provided in the current document is obtained from official source and accuracy of the information provided is the sole responsibility of the healthcare provide. All changes, corrections or updates must be done through the official sources. Please contact HIPAASpace.com in case you need the assistance in obtaining the official contacts of corresponding government organizations.
1922335819
Gender
Individual
Employer Identification Number (EIN)
Enumeration Date
Female
11/12/2009
11/12/2009
212-329-8755
Authorized Official Name
212-329-8755
Authorized Official Title/Position Authorized Official - Phone Number
www.hipaaspace.com