Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 085072 | NY |
N | 207YS0123X | Facial Plastic Surgeon | 085072 | NY |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | 085072 | NY |
NPI | 1912188434 |
---|---|
Provider Name | Ira D Rothfeld |
First Address | New York, NY 10021-5152 |
Second Address | New York, NY 10021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2007 |
Last Update Date | 17/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00132196 | (05) | NY |
B14077 | (02) | NY |