Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 208274 | NY |
NPI | 1124333976 |
---|---|
Provider Name | Evelyn Feng |
First Address | Somerset, NJ 08873 |
Second Address | Somerset, NJ 08873-7298 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2010 |
Last Update Date | 17/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H01119 | (02) | NY |