Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 038292 | CT |
Y | 207X00000X | Orthopaedic Surgeon | 199583-1 | NY |
NPI | 1033198833 |
---|---|
Provider Name | Dr. Young Don Oh |
First Address | White Plains, NY 10604-2901 |
Second Address | White Plains, NY 10604-2901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 16/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01944669046 | (05) | NY |
G82619 | (02) | NY |