Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 270387 | NY |
N | 207V00000X | Obstetrician & Gynecologist | 4301088004 | MI |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 270387 | NY |
NPI | 1043489586 |
---|---|
Provider Name | Armen Kirakosyan |
First Address | Amherst, NY 14226-4723 |
Second Address | Amherst, NY 14226-4723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2008 |
Last Update Date | 29/10/2015 |