Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 179608 | NY |
NPI | 1235248303 |
---|---|
Provider Name | Dr. Basil A Kocur |
First Address | Scarsdale, NY 10583-5323 |
Second Address | Scarsdale, NY 10583-5059 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 18/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F20484 | (02) | NY |