Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 271937 | NY |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 271937 | NY |
NPI | 1326338013 |
---|---|
Provider Name | Mr. Sravisht Iyer |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2011 |
Last Update Date | 26/03/2021 |