Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N003791 | NY |
NPI | 1043232226 |
---|---|
Provider Name | Dr. David J Schlam |
First Address | Wappingers Falls, NY 12590-2505 |
Second Address | Wappingers Falls, NY 12590-2505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 28/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T51203 | (02) |