Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | 264682 | NY |
N | 208200000X | Surgeon | 0101271517 | VA |
N | 208600000X | Surgeon | 0101271517 | VA |
N | 2086S0120X | Pediatric Surgery | 264682-1 | NY |
NPI | 1457500423 |
---|---|
Provider Name | Dr. Elizabeth Ann Bowdish |
First Address | Buffalo, NY 14263-0001 |
Second Address | Buffalo, NY 14263-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2008 |
Last Update Date | 07/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04272377 | (05) | NY |