Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 051871 | NY |
N | 1223S0112X | Oral and Maxillofacial Surgeon | DE00011168 | WA |
NPI | 1114183365 |
---|---|
Provider Name | Steven W Carney |
First Address | Bronx, NY 10457-5221 |
Second Address | Bronx, NY 10457-5221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 14/05/2010 |