Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 162006 | NY |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 162006-1 | NY |
NPI | 1417907817 |
---|---|
Provider Name | Dr. Bernard Sweeney |
First Address | Dansville, NY 14437-0601 |
Second Address | Geneseo, NY 14454-1300 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 02/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00893494 | (05) | NY |
B76292 | (02) | NY |