Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213ES0131X | Foot Surgery | 25MD00287400 | NJ |
Y | 213ES0131X | Foot Surgery | N005888 | NY |
NPI | 1083676258 |
---|---|
Provider Name | Dr. Orna Rauchwerger |
First Address | Lawrence, NY 11559-2419 |
Second Address | Lawrence, NY 11559-2419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 22/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
PH7211 | (02) | NY |