Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 211105 | NY |
N | 111NI0900X | Internist | 211105 | NY |
Y | 207RG0300X | Geriatric Medicine | 211105-1 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 211105-1 | NY |
NPI | 1205871084 |
---|---|
Provider Name | Asma R Bawaney |
First Address | Rochester, NY 14620 |
Second Address | Rochester, NY 14620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 26/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01872100 | (05) | NY |
G78709 | (02) | NY |