Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 194252-1 | NY |
NPI | 1376510669 |
---|---|
Provider Name | Dr. Zinaida Pelkey |
First Address | New York, NY 10025-6556 |
Second Address | New York, NY 10025-6556 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2006 |
Last Update Date | 29/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F70482 | (02) | NY |