Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 174033 | NY |
NPI | 1003894197 |
---|---|
Provider Name | Joph Steckel |
First Address | Manhasset, NY 11030-1961 |
Second Address | Manhasset, NY 11030-1961 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 29/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
66H701 | (02) | NY |
F46602 | (02) | NY |