Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 127425 | NY |
NPI | 1043241276 |
---|---|
Provider Name | Dr. Stephen Marc Lichter |
First Address | Brooklyn, NY 11235-3518 |
Second Address | Brooklyn, NY 11235-3518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 12/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B11351 | (02) |