Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 226295 | MA |
NPI | 1033162235 |
---|---|
Provider Name | Dr. Natasha Mckay |
First Address | Brookline, MA 02446-9137 |
Second Address | Springfield, MA 01104-2485 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 23/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I47645 | (02) | MA |