Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 283995 | NY |
Y | 208000000X | Pediatrician | 283995 | NY |
NPI | 1720425002 |
---|---|
Provider Name | Dr. Christopher Donald Delaney |
First Address | Syracuse, NY 13210-2342 |
Second Address | Syracuse, NY 13202-2240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2013 |
Last Update Date | 02/11/2016 |