Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 168126 | NY |
NPI | 1083610455 |
---|---|
Provider Name | Dr. Josh Werber |
First Address | Great Neck, NY 11021-5320 |
Second Address | Great Neck, NY 11021-5320 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2005 |
Last Update Date | 08/07/2007 |