Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 022839-1 | NY |
NPI | 1003239435 |
---|---|
Provider Name | David May |
First Address | Buffalo, NY 14214-2648 |
Second Address | Buffalo, NY 14214-2648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2014 |
Last Update Date | 21/01/2014 |