Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 178314-1 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 178314-1 | NY |
NPI | 1699774851 |
---|---|
Provider Name | Dr. Beth M Dollinger |
First Address | Elmira, NY 14901-3230 |
Second Address | Horseheads, NY 14845-8301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 10/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001174828 | (05) | PA |
01153704 | (05) | NY |