Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 122910 | NY |
NPI | 1013043587 |
---|---|
Provider Name | Gerald Norman Saffer |
First Address | West Nyack, NY 10994-2631 |
Second Address | West Nyack, NY 10994-2631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 10/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00250308 | (05) | NY |
B12877 | (02) |