Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 051287 | NY |
NPI | 1083603450 |
---|---|
Provider Name | Dr. Steven Joseph Caldroney |
First Address | Brooklyn, NY 11215-2719 |
Second Address | New York, NY 10010-5011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2005 |
Last Update Date | 25/10/2012 |