Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 1492061 | NY |
N | 207ND0101X | MOHS-Micrographic Surgeon | 1492061 | NY |
NPI | 1144302027 |
---|---|
Provider Name | Stephen E Presser |
First Address | Rochester, NY 14618-5720 |
Second Address | Rochester, NY 14618-5720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/10/2006 |
Last Update Date | 13/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00795735 | (05) | NY |
B75572 | (02) | NY |