Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N006006-1 | NY |
NPI | 1417012154 |
---|---|
Provider Name | Dr. Robert J Losier JR. |
First Address | Hopewell Junction, NY 12533 |
Second Address | Bronx, NY 10458-8185 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 02/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U98106 | (02) | NY |