Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 035463 | NY |
NPI | 1043432883 |
---|---|
Provider Name | Dr. Jacob Einhorn |
First Address | Brooklyn, NY 11230-4502 |
Second Address | Brooklyn, NY 11230-3865 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00695510 | (05) | NY |