Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N006619 | NY |
NPI | 1023354081 |
---|---|
Provider Name | Dr. Ilona Shtarkman |
First Address | New York, NY 10017-9287 |
Second Address | New York, NY 10017-9287 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2012 |
Last Update Date | 01/04/2021 |