Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 186158 | NY |
NPI | 1538259635 |
---|---|
Provider Name | Glenn L Schattman |
First Address | New York, NY 10021-5663 |
Second Address | New York, NY 10021-5663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 31/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E95202 | (02) | NY |