Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N002629 | NY |
Y | 222Z00000X | Podiatrist | N002629 | NY |
NPI | 1043314222 |
---|---|
Provider Name | Philip Lewis Whitman |
First Address | New York, NY 10021 |
Second Address | New York, NY 10021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2006 |
Last Update Date | 05/02/2008 |