Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 0101242414 | VA |
NPI | 1194870766 |
---|---|
Provider Name | Dr. Matthew Adam Posner |
First Address | West Point, NY 10996 |
Second Address | West Point, NY 10996 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 01/09/2020 |