Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 167615 | NY |
NPI | 1780642371 |
---|---|
Provider Name | Dr. Stephen Warman |
First Address | Flushing, NY 11355 |
Second Address | Forest Hills, NY 11375-4451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 22/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E42168 | (02) |