Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | MD002329 | NJ |
N | 213ES0131X | Foot Surgery | N005262 | NY |
NPI | 1053412791 |
---|---|
Provider Name | Dr. Ari Sytner |
First Address | Tenafly, NJ 07670-2714 |
Second Address | Teaneck, NJ 07666-5200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
107611 | AMERIGROUP (01) | NJ |
1416399 | UNITED HEALTHCARE (01) | NJ |
2K30585 | HEALTHNET (01) | NJ |
6201413 | GHI (01) | NJ |
7000308 | (05) | NJ |
P1016634 | OXFORD (01) | NJ |
PH1551 | BLUC CROSS (01) | NJ |
U60715 | (02) | NJ |