Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 209052 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 209052 | NY |
NPI | 1023155041 |
---|---|
Provider Name | Dr. Eial Faierman |
First Address | Scarsdale, NY 10583 |
Second Address | Bronx, NY 10465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01822375 | (05) | NY |
G36400 | (02) | NY |