Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174V00000X | Clinical Ethicist | NY |
NPI | 1770022014 |
---|---|
Provider Name | Beila Tammy Herman |
First Address | Brooklyn, NY 11218 |
Second Address | Brooklyn, NY 11218-3612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2017 |
Last Update Date | 20/02/2017 |