Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 053282 | NY |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 053282 | NY |
NPI | 1497087639 |
---|---|
Provider Name | Dr. Jesse C Doscher |
First Address | Scarsdale, NY 10583 |
Second Address | Scarsdale, NY 10583 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2010 |
Last Update Date | 12/08/2015 |