Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 172112 | NY |
N | 207VE0102X | Reproductive Endocrinologist | 72477 | MA |
N | 207VE0102X | Reproductive Endocrinologist | MA58079 | NJ |
NPI | 1013153782 |
---|---|
Provider Name | Dr. David Bruce Sable |
First Address | New York, NY 10022-4304 |
Second Address | New York, NY 10022-4304 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2008 |
Last Update Date | 30/10/2009 |