Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | P96775 | NY |
NPI | 1053783100 |
---|---|
Provider Name | Dr. Shai Shemesh |
First Address | Bronx, NY 10463-4801 |
Second Address | Bronx, NY 10463-4801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2015 |
Last Update Date | 28/10/2015 |