MEDICARE: DR. JUDY HONIG PNP, DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	F380141	NY

General Provider Information

NPI Number	:	1609094895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDY HONIG PNP, DNP

Provider Business Mailing Address
First Line	:	10 W 86TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-3606
Country	:	US
Telephone Number	:	212-305-2816
Fax Number	:

Provider Business Practice Location Address
First Line	:	617 W 168TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10032-3703
Country	:	US
Telephone Number	:	212-305-2816
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	07/08/2007

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