Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 120874 | NY |
NPI | 1104863968 |
---|---|
Provider Name | Marian B Demeny |
First Address | Garden City, NY 11530-2133 |
Second Address | Elmhurst, NY 11373-4427 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 12/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00860040 | (05) | NY |
A62159 | (02) | NY |