Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 253366 | NY |
N | 208200000X | Surgeon | 253366 | NY |
N | 208600000X | Surgeon | 253366 | NY |
NPI | 1326138553 |
---|---|
Provider Name | Dr. Carlos E Marroquin |
First Address | Rochester, NY 14642-8410 |
Second Address | Rochester, NY 14642-8410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 17/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03113820 | (05) | NY |
H87590 | (02) |