Individual
MIU K MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
128 MOTT ST, #603, NEW YORK, NY 10013-5540
(212) 732-2638
(212) 732-1029
Mailing address
128 MOTT ST, #603, NEW YORK, NY 10013-5540
(212) 732-2638
(212) 732-1029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
204227
NY
Other
Enumeration date
04/17/2006
Last updated
01/05/2010
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