Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 207055 | NY |
NPI | 1548232465 |
---|---|
Provider Name | John Gaffney |
First Address | Garden City, NY 11530-1886 |
Second Address | Garden City, NY 11530-1886 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 24/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2873696 | (05) | NY |
759671 | (02) | NY |