Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 163439 | NY |
NPI | 1104885201 |
---|---|
Provider Name | Dr. Norris Fox |
First Address | New Rochelle, NY 10801-5503 |
Second Address | New Rochelle, NY 10801-5503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 10/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01182172 | (05) | NY |
E87455 | (02) |