Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 285536 | NY |
Y | 208000000X | Pediatrician | 285536 | NY |
NPI | 1538588314 |
---|---|
Provider Name | Dr. Caitlin Elena Stiglmeier |
First Address | North Syracuse, NY 13212-2649 |
Second Address | North Syracuse, NY 13212-2649 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2014 |
Last Update Date | 21/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04521248 | (05) | NY |