Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MT193362 | PA |
N | 208600000X | Surgeon | MT193362 | PA |
Y | 2086S0120X | Pediatric Surgery | 280833 | NY |
NPI | 1497917702 |
---|---|
Provider Name | Enrico Danzer |
First Address | New York, NY 10065-6007 |
Second Address | New York, NY 10065-6007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2008 |
Last Update Date | 12/08/2021 |