Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 164911 | NY |
NPI | 1184717191 |
---|---|
Provider Name | Howard J Strassberg |
First Address | Glen Head, NY 11545-1947 |
Second Address | Glen Head, NY 11545-1947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |