Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N006712 | NY |
N | 222Z00000X | Podiatrist | N006712 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N006712 | NY |
N | 2081S0010X | Sports Medicine | N006712 | NY |
N | 213ES0000X | Sports Medicine | N006712 | NY |
Y | 213ES0131X | Foot Surgery | N006712 | NY |
NPI | 1225399702 |
---|---|
Provider Name | Sherie Neufville |
First Address | Bronx, NY 10451-3003 |
Second Address | Bronx, NY 10451-3003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2012 |
Last Update Date | 08/09/2015 |