Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 277334 | NY |
N | 207X00000X | Orthopaedic Surgeon | 60175 | CT |
N | 207X00000X | Orthopaedic Surgeon | A147331 | CA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 277334 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 60175 | CT |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A147331 | CA |
NPI | 1194091579 |
---|---|
Provider Name | Daniel Howard |
First Address | Carmel, NY 10512-3990 |
Second Address | Carmel, NY 10512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2012 |
Last Update Date | 07/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1194091579 | MEDICARE (01) | NY |