Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X003103 | NY |
NPI | 1770772709 |
---|---|
Provider Name | Dr. Ronald E Safko |
First Address | New York, NY 10022-5501 |
Second Address | New York, NY 10022-5501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2007 |
Last Update Date | 16/10/2007 |