Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 25MA09210700 | NJ |
N | 2080P0210X | Pediatric Nephrologist | 262258 | NY |
N | 2080P0210X | Pediatric Nephrologist | MD451227 | PA |
NPI | 1225469489 |
---|---|
Provider Name | Valeriya M Feygina |
First Address | New Brunswick, NJ 08901-1935 |
Second Address | New Brunswick, NJ 08901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2013 |
Last Update Date | 01/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0569941 | (05) | NJ |