Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 195850 | NY |
NPI | 1225341829 |
---|---|
Provider Name | David F Mc Neeley |
First Address | Teaneck, NJ 07666-2600 |
Second Address | Teaneck, NJ 07666-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2010 |
Last Update Date | 23/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01769520 | (05) | NY |