Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 201030 | NY |
NPI | 1093728289 |
---|---|
Provider Name | Dr. Donald Roland |
First Address | New York, NY 10021-4266 |
Second Address | New York, NY 10021-4266 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 15/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02269134 | (05) | NY |
G99929 | (02) |