Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2076931 | NY |
NPI | 1013024801 |
---|---|
Provider Name | Edmond Cleeman |
First Address | New York, NY 10019-2802 |
Second Address | New York, NY 10019-2802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 15/07/2015 |