Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | 146474 | NY |
NPI | 1295725257 |
---|---|
Provider Name | Dr. Barry Michael Pomerantz |
First Address | New York, NY 10023-6131 |
Second Address | New York, NY 10019-1145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2005 |
Last Update Date | 31/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B08174 | (02) | NY |