Provider Demographics
NPI:1154397503
Name:OKSMAN, HENRY C (PHD, MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:C
Last Name:OKSMAN
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-5106
Mailing Address - Country:US
Mailing Address - Phone:914-948-5157
Mailing Address - Fax:
Practice Address - Street 1:61 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-5106
Practice Address - Country:US
Practice Address - Phone:914-948-3417
Practice Address - Fax:914-206-4027
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150482207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00890735Medicaid
NY180040031OtherMEDICARE RAILROAD
NY180040031OtherMEDICARE RAILROAD
B19500Medicare UPIN