Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 170145 | NY |
Y | 208600000X | Surgeon | 170145 | NY |
N | 2086S0129X | Vascular Surgeon | 170145 | NY |
NPI | 1053384297 |
---|---|
Provider Name | Dr. David C Dreyfuss |
First Address | Binghamton, NY 13905-4176 |
Second Address | Binghamton, NY 13905-4176 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 16/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01028582 | (05) | NY |
B81016 | (02) | NY |