Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 181276 | NY |
N | 207RX0202X | Medical Oncology | 181276 | NY |
NPI | 1154356616 |
---|---|
Provider Name | Brian David Yirinec |
First Address | Rochester, NY 14623-4272 |
Second Address | Rochester, NY 14623-4272 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 30/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01736034 | (05) | NY |
101318BW | PREFERRED CARE (01) | NY |
7376057 | AETNA (01) | NY |
G49129 | (02) | NY |