Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 257515 | NY |
NPI | 1891958856 |
---|---|
Provider Name | Dr. William Daniel Losquadro |
First Address | Mount Kisco, NY 10549-3446 |
Second Address | Katonah, NY 10536-2115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2008 |
Last Update Date | 11/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03234993 | (05) | NY |