Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 289291 | NY |
NPI | 1417361684 |
---|---|
Provider Name | Marina Epelman |
First Address | Staten Island, NY 10306-6150 |
Second Address | Staten Island, NY 10306-3117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2014 |
Last Update Date | 17/03/2018 |