Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 010883 | NY |
N | 111NR0400X | Rehabilitation Chiropractor | 010883 | NY |
NPI | 1396874616 |
---|---|
Provider Name | Dr. Noam Sadovnik |
First Address | New York, NY 10001-4249 |
Second Address | New York, NY 10001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2007 |
Last Update Date | 08/04/2020 |