Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 161274 | NY |
NPI | 1598765059 |
---|---|
Provider Name | Dr. Steven D Styler |
First Address | Brooklyn, NY 11219-3243 |
Second Address | Brooklyn, NY 11219-3243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00922849 | (05) | NY |
B16474 | (02) | NY |