Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 031323 | NY |
NPI | 1073603387 |
---|---|
Provider Name | George Joseph Kafka |
First Address | New York, NY 10019-5404 |
Second Address | New York, NY 10019-5404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2006 |
Last Update Date | 08/07/2007 |