Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 002553 | NY |
Y | 222Z00000X | Podiatrist | 002553 | NY |
N | 213EP1101X | Primary Podiatric Medicine | 002553 | NY |
N | 2081S0010X | Sports Medicine | 002553 | NY |
N | 213ES0000X | Sports Medicine | 002553 | NY |
NPI | 1366451841 |
---|---|
Provider Name | Dr. Ronald Werter |
First Address | New York, NY 10023-5601 |
Second Address | New York, NY 10023-5601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 29/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00405578 | (05) | NY |
T71171 | (02) |