Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 55703 | AZ |
NPI | 1881038966 |
---|---|
Provider Name | Sidney Jonathan Starkman |
First Address | Buffalo, NY 14209-1435 |
Second Address | Scottsdale, AZ 85260-6679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2013 |
Last Update Date | 01/01/2019 |