Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | 0420005614 | VT |
N | 207ND0900X | Dermatopathologist | 43419 | MA |
NPI | 1699761528 |
---|---|
Provider Name | Alan Neal Binnick |
First Address | Bennington, VT 05201-5010 |
Second Address | Bennington, VT 05201-5010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1075267 | (05) | VT |
A67767 | (02) |