Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 041487 | NY |
NPI | 1093104622 |
---|---|
Provider Name | Dr. Howard N Livers |
First Address | New Hyde Park, NY 11042-1220 |
Second Address | New Hyde Park, NY 11042-1220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2015 |
Last Update Date | 20/01/2015 |