Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 152628 | NY |
NPI | 1447247374 |
---|---|
Provider Name | Lewis Teperman |
First Address | New York, NY 10016-4972 |
Second Address | New York, NY 10016-4972 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25F671 | (05) | NY |
E17280 | (02) | NY |