Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 188072 | NY |
N | 208600000X | Surgeon | 188072 | NY |
Y | 2086X0206X | Surgical Oncologist | 188072 | NY |
NPI | 1164585329 |
---|---|
Provider Name | Dr. Steven Kenneth Libutti |
First Address | West Harrison, NY 10604 |
Second Address | West Harrison, NY 10604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 10/02/2021 |