Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N004252 | NY |
NPI | 1427142025 |
---|---|
Provider Name | Dr. James Korponay |
First Address | Whitestone, NY 11357-1750 |
Second Address | Whitestone, NY 11357-1750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 12/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01047209 | (05) | NY |
T51423 | (02) | NY |