Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 238729 | NY |
N | 208600000X | Surgeon | 238729 | NY |
Y | 2086X0206X | Surgical Oncologist | 238729 | NY |
NPI | 1245471986 |
---|---|
Provider Name | James R. Nitzkorski |
First Address | Lagrangeville, NY 12540-5108 |
Second Address | Poughkeepsie, NY 12601-3947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2009 |
Last Update Date | 23/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03336523 | (05) | NY |