Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 270749 | NY |
NPI | 1447549019 |
---|---|
Provider Name | Elizabeth Feuille |
First Address | New York, NY 10021-4872 |
Second Address | New York, NY 10021-4872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 23/04/2018 |