Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 254797 | NY |
Y | 2080P0214X | Pediatric Pulmonologist | A121888 | CA |
NPI | 1649505538 |
---|---|
Provider Name | Elizabeth Ann Foley |
First Address | Long Beach, CA 90806-1701 |
Second Address | Long Beach, CA 90806-1701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2009 |
Last Update Date | 03/05/2017 |