Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 2013-00280 | NC |
N | 207PE0004X | Emergency Medical Services | 229465-1 | NY |
NPI | 1033163993 |
---|---|
Provider Name | Christopher Occhino |
First Address | Raleigh, NC 27609-5654 |
Second Address | Raleigh, NC 27609-5654 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 15/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02495458 | (05) | NY |
H24047 | (02) | NY |