Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 1465481 | NY |
NPI | 1528042835 |
---|---|
Provider Name | Dr. David Louis Marchetti |
First Address | North Tonawanda, NY 14120-2019 |
Second Address | Cheektowaga, NY 14225-2594 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 14/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00844688 | (05) | NY |
B71503 | (02) |