Individual
PRISCILLA WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4337 BROADWAY, NEW YORK, NY 10033-2411
(212) 568-6300
(516) 542-5556
Mailing address
441 9TH AVE, CREDENTIALING 3RD FL, NEW YORK, NY 10001-1623
(646) 680-2894
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
136581
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00896135
—
NY
Enumeration date
06/14/2006
Last updated
12/09/2015
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