Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N 3779 | NY |
NPI | 1558335141 |
---|---|
Provider Name | Dr. Deardre L Nadel |
First Address | Scarsdale, NY 10583-7301 |
Second Address | Bronx, NY 10468-3930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 23/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005149 | GHI (01) | NY |
00865614 | (05) | NY |
P2883947-P2883947 | OXFORD (01) | NY |
T51201 | (02) | NY |