Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 012954 | NY |
N | 2251C2600X | Cardiopulmonary | 012954 | NY |
NPI | 1841359098 |
---|---|
Provider Name | Dr. Noah Greenspan |
First Address | New York, NY 10018-6262 |
Second Address | New York, NY 10018-6262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02071525 | (05) | NY |
Q23081 | (02) | NY |