Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 170103-1 | NY |
NPI | 1174591846 |
---|---|
Provider Name | Donald Schmidt |
First Address | Buffalo, NY 14220-2039 |
Second Address | Buffalo, NY 14220-2039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 05/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000510879004 | HEALTHNOW (01) | NY |
0705700 | INDEPENDENT HEALTH (01) | NY |
D64096 | (02) | |
PENDING | (05) | NY |