Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 16666 | NH |
Y | 2084N0400X | Neurologist | 34.012642 | OH |
N | 2084N0400X | Neurologist | LT4136 | NH |
NPI | 1003074691 |
---|---|
Provider Name | Dr. Mary S Feldman |
First Address | Moraine, OH 45439-1924 |
Second Address | Dayton, OH 45409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 30/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0217667 | (05) | OH |
102380162 | (05) | PA |