Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 60-195986 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 60-195986 | NY |
NPI | 1033264031 |
---|---|
Provider Name | Dr. Otis Alton Barron |
First Address | New York, NY 10022-5822 |
Second Address | New York, NY 10022-5822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 19/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01626360 | (05) | NY |
F94859 | (02) | |
P410428 | OXFORD (01) |