Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 204268 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 204268 | NY |
NPI | 1801813308 |
---|---|
Provider Name | Wen Shen |
First Address | Poughkeepsie, NY 12601-6027 |
Second Address | Poughkeepsie, NY 12601-6027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 30/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02183466 | (05) | NY |
H22883 | (02) | NY |