Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 254265 | NY |
NPI | 1083873251 |
---|---|
Provider Name | Dr. Jason S. Pruzansky |
First Address | New York, NY 10028-0323 |
Second Address | New York, NY 10028-0323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 02/06/2015 |