Doctor Name: | DR. HOLLY KRISTIN YETTAW LUTS |
NPI Number: | 1326216904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 2602561 |
Business Practice Address: | 3332 Rochambeau Ave Dept Of Ob/gyn Bronx, NY - 104672836 |
Business Phone Number: | 7189205157 |
Business Fax Number: | 7189206313 |
Mailing Address: | 3332 Rochambeau Ave, Dept Of Ob/gyn BRONX |
State: | NY |
Postal Code: | 104672836 |
Phone Number: | 7189205157 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2008 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 2602561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |