Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgeon | 059306 | NY |
N | 204E00000X | Oral & Maxillofacial Surgeon | 22DI02606800 | NJ |
N | 204E00000X | Oral & Maxillofacial Surgeon | 25MA10164600 | NJ |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 281551 | NY |
NPI | 1396044640 |
---|---|
Provider Name | Dr. Michael Harris Schiffman |
First Address | New York, NY 10021-3934 |
Second Address | Woodmere, NY 11598-1244 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2011 |
Last Update Date | 17/03/2018 |