Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 291966 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 291966 | NY |
NPI | 1427391754 |
---|---|
Provider Name | Isaac Livshetz |
First Address | West Harrison, NY 10604-2923 |
Second Address | West Harrison, NY 10604-2923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2013 |
Last Update Date | 07/12/2019 |