Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 290814 | NY |
NPI | 1427311430 |
---|---|
Provider Name | Dr. Gary Linkov |
First Address | New York, NY 10022-1009 |
Second Address | New York, NY 10022-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2012 |
Last Update Date | 09/03/2020 |