Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 11709 | NY |
NPI | 1093945842 |
---|---|
Provider Name | Dr. Rolland Nemirovsky |
First Address | New York, NY 10022-1009 |
Second Address | New York, NY 10022-2614 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2009 |
Last Update Date | 22/09/2011 |