Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 172055-1 | NY |
NPI | 1114912458 |
---|---|
Provider Name | Stephen Thomas Onesti |
First Address | Rockville Centre, NY 11570-4800 |
Second Address | Rockville Centre, NY 11570-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2005 |
Last Update Date | 02/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01500807 | (05) | NY |
3118681 | (05) | NY |
F53831 | (02) | NY |