| NPI | 1699789255 |
|---|---|
| Former Name | AUDREY ZELICOF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 211312) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 211312) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-03-17 |