Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 04182 | NY |
NPI | 1194836361 |
---|---|
Provider Name | Dr. Kirk Lebensfeld |
First Address | New York, NY 10022-2951 |
Second Address | New York, NY 10022-2951 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0042834 | GHI (01) | NY |
00979837 | (05) | NY |
T51355 | (02) | NY |