Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 185008 | NY |
NPI | 1013968791 |
---|---|
Provider Name | Dr. Jurij E. Stecko |
First Address | New York, NY 10001-3007 |
Second Address | New York, NY 10003-2602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G06357 | (02) | NY |