Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 167104-1 | NY |
NPI | 1679649628 |
---|---|
Provider Name | Dr. Barry Steven Erner |
First Address | Chappaqua, NY 10514-3448 |
Second Address | Chappaqua, NY 10514-3448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 30/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E03544 | (02) | NY |