Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 236530 | NY |
NPI | 1023005691 |
---|---|
Provider Name | Howard Schlossberg |
First Address | Rexford, NY 12148-1318 |
Second Address | Clifton Park, NY 12065-4172 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 20/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I34105 | (02) |