Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 004594 | NY |
NPI | 1093132953 |
---|---|
Provider Name | Andrea Schulman |
First Address | Brooklyn, NY 11234-5024 |
Second Address | Brooklyn, NY 11234-5024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 26/11/2014 |