Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 246029 | NY |
NPI | 1083625008 |
---|---|
Provider Name | Dr. Angel N. Boev |
First Address | Rochester, NY 14621 |
Second Address | Rochester, NY 14621-3008 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 12/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03461781 | (05) | NY |