Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 147290 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 147290 | NY |
NPI | 1073587978 |
---|---|
Provider Name | Franco P Cerabona |
First Address | New York, NY 10038-0000 |
Second Address | New York, NY 10038-2612 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 25/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00999151 | (05) | NY |
C11977 | (02) | NY |