Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N004669-1 | NY |
NPI | 1073797825 |
---|---|
Provider Name | Dr. Scott E Chalson |
First Address | New York, NY 10016-4977 |
Second Address | New York, NY 10016-4977 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 27/12/2007 |