Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 134605 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 134605 | NY |
NPI | 1821106535 |
---|---|
Provider Name | Michael Gilmour Mcclure |
First Address | Binghamton, NY 13903 |
Second Address | Binghamton, NY 13903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 24/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00437458 | (05) | NY |
B81172 | (02) |