National Provider Identifier
Josephine Detar, MD
Josephine Detar, MD is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Millport, NY and a listed phone number of (800) 394-4445.
Profile Overview
- NPI
- 1306897970
- Provider Type
- Individual
- Primary Specialty
- Anesthesiology Physician
- Enumeration Date
- May 16, 2006
- Last Updated
- June 14, 2008
Practice Location
- 1927 Woods Edge Dr
- Millport, NY 14864-9730
Phone: (800) 394-4445
Specialties
- Anesthesiology Physician (207L00000X)
Full Record
- NPI
- 1306897970
- Entity Type
- Individual
- Last Name
- Detar
- First Name
- Josephine
- Credential
- MD
- Mailing Street Address
- 1927 Woods Edge Dr
- Mailing City
- Millport
- Mailing State
- NY
- Mailing ZIP Code
- 14864-9730
- Mailing Country
- US
- Mailing Phone
- (800) 394-4445
- Practice Street Address
- 1927 Woods Edge Dr
- Practice City
- Millport
- Practice State
- NY
- Practice ZIP Code
- 14864-9730
- Practice Country
- US
- Practice Phone
- (800) 394-4445
- Enumeration Date
- May 16, 2006
- Last Updated
- June 14, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Anesthesiology Physician (207L00000X)
- Other Identifiers
- 0018396300001 (PA), 050084782 (NY, Rr Medicare), 610421800 (NY, Dept Of Labor), 008130315 (NY, BCBS), 01390312 (NY)