Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 217426 | NY |
N | 207YS0123X | Facial Plastic Surgeon | 217426 | NY |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 217426 | NY |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 217426 | NY |
Y | 208200000X | Surgeon | 217426 | NY |
Y | 208600000X | Surgeon | 217426 | NY |
NPI | 1629182548 |
---|---|
Provider Name | Dr. Adam David Schaffner |
First Address | New York, NY 10022-3607 |
Second Address | New York, NY 10022-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 12/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I05323 | (02) |