Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 195110 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 195110 | NY |
NPI | 1053316836 |
---|---|
Provider Name | Dr. David M.s. Shein |
First Address | Bronx, NY 10461-2720 |
Second Address | Bronx, NY 10461-2720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 20/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F78772 | (02) | NY |