Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 190026 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 190026 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 190026 | NY |
NPI | 1366638439 |
---|---|
Provider Name | Dr. Stuart D Katchis |
First Address | New York, NY 10075-1851 |
Second Address | New York, NY 10075-1851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2007 |
Last Update Date | 25/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G00496 | (02) | NY |