Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0404243 | CT |
N | 208600000X | Surgeon | 0404243 | CT |
N | 208200000X | Surgeon | 188307 | NY |
N | 208600000X | Surgeon | 188307 | NY |
N | 2082S0105X | Plastic Hand Surgeon | 0404243 | CT |
N | 2082S0105X | Plastic Hand Surgeon | 188307 | NY |
NPI | 1780743518 |
---|---|
Provider Name | Dr. Steven Andrew Fern |
First Address | New York, NY 10021-8509 |
Second Address | New York, NY 10021-8509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G45380 | (02) |