Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 034464-1 | NY |
Y | 213ES0000X | Sports Medicine | 034464-1 | NY |
NPI | 1518219369 |
---|---|
Provider Name | Thomas Hobson |
First Address | Scarsdale, NY 10583-5323 |
Second Address | Scarsdale, NY 10583-5323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2012 |
Last Update Date | 03/10/2012 |