Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 168006 | NY |
NPI | 1306806724 |
---|---|
Provider Name | Dr. Seth Neubardt |
First Address | White Plains, NY 10604-3497 |
Second Address | White Plains, NY 10604-3434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 27/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F20103 | (02) | NY |