Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | 203132 | NY |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 203132 | NY |
Y | 2084N0400X | Neurologist | 203132 | NY |
NPI | 1740330059 |
---|---|
Provider Name | Alexandra E Mcbride |
First Address | Mount Kisco, NY 10549 |
Second Address | Mount Kisco, NY 10549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 23/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02086428 | (05) | NY |
H14004 | (02) | NY |