Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N006921 | NY |
NPI | 1053791558 |
---|---|
Provider Name | Evan Verbofsky |
First Address | Rochester, NY 14624 |
Second Address | Rochester, NY 14624 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2015 |
Last Update Date | 07/01/2019 |