Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 25MA10484500 | NJ |
N | 2080P0204X | Pediatric Emergency Doctor | 280769 | NY |
NPI | 1174966816 |
---|---|
Provider Name | Dr. Sondra Maureen Nemetski |
First Address | Englewood, NJ 07631-3108 |
Second Address | Hackensack, NJ 07601-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 10/05/2019 |