Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 265198 | NY |
NPI | 1336342088 |
---|---|
Provider Name | Ben Louis Laplante |
First Address | Rochester, NY 14642-0001 |
Second Address | Brockport, NY 14420-1229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 24/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03488406 | (05) | NY |