Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 093470 | NY |
NPI | 1043235575 |
---|---|
Provider Name | Dr. Charles Steinman |
First Address | Waccabuc, NY 10597-1201 |
Second Address | Waccabuc, NY 10597-1201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00152516 | (05) | NY |
B20531 | (02) | NY |