Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 208465 | NY |
N | 207X00000X | Orthopaedic Surgeon | 40208 | CT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 208465 | NY |
NPI | 1770548810 |
---|---|
Provider Name | Kurt V Voellmicke |
First Address | Mount Kisco, NY 10549-3446 |
Second Address | Mount Kisco, NY 10549-3412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 30/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02457445 | (05) | NY |
H73270 | (02) | |
P2678086 | OXFORD (01) | NY |