Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 254443 | NY |
N | 207X00000X | Orthopaedic Surgeon | 55926 | CT |
N | 207XS0106X | Orthopaedic Hand Surgeon | 254443 | NY |
NPI | 1063644110 |
---|---|
Provider Name | Dr. Yariv Maghen |
First Address | Carmel, NY 10512-3940 |
Second Address | Carmel, NY 10512-3940 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2009 |
Last Update Date | 07/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A400046715 | MEDICARE (01) | NY |
WCJ511 | MEDICARE (01) | NY |