Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 65006766 | NY |
NPI | 1023457488 |
---|---|
Provider Name | Jarret Drucker |
First Address | New York, NY 10022-1164 |
Second Address | New York, NY 10022-1164 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2013 |
Last Update Date | 03/08/2016 |