Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X004483-1 | NY |
NPI | 1255473013 |
---|---|
Provider Name | Dr. Stephen F Oswald |
First Address | Spring Valley, NY 10977-6119 |
Second Address | Chestnut Ridge, NY 10977-6314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 10/10/2007 |