Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 000000000 | NY |
NPI | 1013257922 |
---|---|
Provider Name | Gary Strauchler |
First Address | Bronx, NY 10463-1505 |
Second Address | Bronx, NY 10463-1505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2013 |
Last Update Date | 01/03/2013 |