Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 280485 | NY |
Y | 207RH0003X | Hematology & Oncology | 280485 | NY |
NPI | 1144584772 |
---|---|
Provider Name | Dr. Adrienne I. Victor |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2012 |
Last Update Date | 30/07/2018 |