Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 180631 | NY |
N | 111NI0900X | Internist | 180631 | NY |
N | 208000000X | Pediatrician | 180631 | NY |
NPI | 1003870056 |
---|---|
Provider Name | Dawn Patricia Hrab |
First Address | Clarence Center, NY 14032-9765 |
Second Address | Williamsville, NY 14221-2711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01827536 | (05) | NY |
F30233 | (02) | NY |