Doctor Name: | MR. EMANCIA NEIL |
NPI Number: | 1891998225 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 211252 |
Business Practice Address: | 1571 Sheridan Ave Suite 4b Bronx, NY - 104578546 |
Business Phone Number: | 7184660430 |
Business Fax Number: | |
Mailing Address: | 1571 Sheridan Ave, Suite 4b BRONX |
State: | NY |
Postal Code: | 104578546 |
Phone Number: | 7184660430 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 211252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |