Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081S0010X | Sports Medicine | D66057 | MD |
N | 213ES0000X | Sports Medicine | D66057 | MD |
NPI | 1558458513 |
---|---|
Provider Name | Dr. Henry S York |
First Address | Baltimore, MD 21207-6665 |
Second Address | Baltimore, MD 21207-6665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2006 |
Last Update Date | 20/12/2007 |