Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N005459 | NY |
Y | 222Z00000X | Podiatrist | N005459 | NY |
NPI | 1003900390 |
---|---|
Provider Name | Dr. Joseph E Naas |
First Address | East Syracuse, NY 13057 |
Second Address | E Syracuse, NY 13057 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 22/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01829556 | (05) | NY |
U70979 | (02) |