Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 284591-1 | NY |
Y | 2084N0402X | Child Neurologist | 87066 | SC |
NPI | 1114347051 |
---|---|
Provider Name | Mariana Szuchmacher |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-5204 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2014 |
Last Update Date | 04/01/2022 |