Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N0045951 | NY |
NPI | 1073609988 |
---|---|
Provider Name | Dr. Dawn V Sears |
First Address | Saint Albans, NY 11412-4025 |
Second Address | Saint Albans, NY 11412-4025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 23/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02543924 | (05) | NY |
U08730 | (02) | NY |