Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N004743 | NY |
NPI | 1043239452 |
---|---|
Provider Name | Dr. Stewart M Kamen |
First Address | Bronxville, NY 10708-3809 |
Second Address | Bronxville, NY 10708-3809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 09/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01252006 | (05) | NY |
02241252 | (05) | NY |
U19896 | (02) | NY |