Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | 227552 | NY |
NPI | 1245386432 |
---|---|
Provider Name | Mr. Meno Ernst Lueders |
First Address | Orangeburg, NY 10962-2726 |
Second Address | Bronx, NY 10451-5504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2007 |
Last Update Date | 04/03/2015 |