Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MT202188 | PA |
N | 208600000X | Surgeon | MT202188 | PA |
Y | 2086X0206X | Surgical Oncologist | 299903 | NY |
NPI | 1255692141 |
---|---|
Provider Name | Madalyn G Neuwirth |
First Address | Valhalla, NY 10595-1530 |
Second Address | Valhalla, NY 10595-1530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2012 |
Last Update Date | 21/06/2021 |