Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 283562 | NY |
NPI | 1073716049 |
---|---|
Provider Name | Adriana Laser |
First Address | Albany, NY 12208-3797 |
Second Address | Albany, NY 12208-3797 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 17/03/2018 |