Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 218985 | NY |
N | 207RX0202X | Medical Oncology | 218985 | NY |
NPI | 1104845205 |
---|---|
Provider Name | Elizabeta C Popa |
First Address | New York, NY 10021-5663 |
Second Address | New York, NY 10021-5663 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 10/08/2012 |