Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 35075488O | OH |
NPI | 1043274194 |
---|---|
Provider Name | Kenneth Ouriel |
First Address | New York, NY 10022-1006 |
Second Address | New York, NY 10023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 27/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2169246 | (05) | OH |
B72022 | (02) | OH |