Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 143296 | NY |
NPI | 1043276447 |
---|---|
Provider Name | George F. Owens |
First Address | White Plains, NY 10605-2217 |
Second Address | White Plains, NY 10605-2217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 20/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00842457 | (05) | NY |
CO6985 | (02) | NY |