Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 208004 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 208004 | NY |
NPI | 1013950427 |
---|---|
Provider Name | Dr. Michael Stracher |
First Address | Brooklyn, NY 11212 |
Second Address | Brooklyn, NY 11212-3139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 23/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02317059 | (05) | NY |
H74669 | (02) |