Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 002131 | GA |
Y | 2080P0208X | Pediatric Infectious Diseases | 254697 | NY |
NPI | 1073791117 |
---|---|
Provider Name | Dr. Dolly Sharma |
First Address | Amherst, NY 14228-2777 |
Second Address | Buffalo, NY 14222-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 06/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03350236 | (05) | NY |