Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 195032 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 195032 | NY |
NPI | 1588646426 |
---|---|
Provider Name | David J Pochatko |
First Address | Amherst, NY 14226-1738 |
Second Address | East Amherst, NY 14051-2610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 13/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F61270 | (02) | NY |