Healthcare Provider Details

I. General information

NPI: 1689940892
Provider Name (Legal Business Name): KERRI ILENE ARONSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 09/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 E 61ST ST FL 4
NEW YORK NY
10065-8722
US

IV. Provider business mailing address

505 E 70TH ST HELMSLEY TOWER 4TH FLOOR
NEW YORK NY
10021-4872
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-2333
  • Fax: 646-962-0330
Mailing address:
  • Phone: 212-746-9663
  • Fax: 212-746-3609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number279724
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: