Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 049560-1 | NY |
NPI | 1932298197 |
---|---|
Provider Name | Dr. Alfredo Aguirre |
First Address | Buffalo, NY 14214-3001 |
Second Address | Buffalo, NY 14214-3001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 27/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02287332 | (05) | NY |
U88797 | (02) | NY |