Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 031425 | NY |
NPI | 1003907171 |
---|---|
Provider Name | Dr. Hank Schiffman |
First Address | New York, NY 10011-8826 |
Second Address | New York, NY 10011-8857 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 08/07/2007 |