Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 187045 | NY |
Y | 208600000X | Surgeon | 187045 | NY |
N | 2082S0105X | Plastic Hand Surgeon | 187045 | NY |
N | 208200000X | Surgeon | 187045 | NY |
N | 208600000X | Surgeon | 187045 | NY |
NPI | 1023071917 |
---|---|
Provider Name | Dr. W. Thomas Huntsman |
First Address | Cooperstown, NY 13326-0725 |
Second Address | Cooperstown, NY 13326-1301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2006 |
Last Update Date | 29/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01276439 | (05) | NY |
B85762 | (02) | NY |