Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter |
NPI | 1114395464 |
---|---|
Provider Name | Alejandro Aguilar |
First Address | Rochester, NY 14616 |
Second Address | Rochester, NY 14616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2015 |
Last Update Date | 21/08/2018 |