Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 134732 | NY |
NPI | 1568562932 |
---|---|
Provider Name | Dr. Steven S. Kipnis |
First Address | New City, NY 10956 |
Second Address | New City, NY 10956 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 08/07/2007 |