Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 204912 | NY |
NPI | 1023116183 |
---|---|
Provider Name | Dr. Marla S Sheflin |
First Address | Merrick, NY 11566-5119 |
Second Address | Merrick, NY 11566-5119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 26/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02074468 | (05) | NY |
G89979 | (02) | NY |