Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 029748-1 | NY |
NPI | 1730309543 |
---|---|
Provider Name | Dr. Howard Tocker |
First Address | Delmar, NY 12054-4328 |
Second Address | Delmar, NY 12054-4328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 08/07/2007 |