Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 127515 | NY |
N | 111NI0900X | Internist | 127515 | NY |
N | 207RG0100X | Gastroenterologist | 127515 | NY |
NPI | 1033122551 |
---|---|
Provider Name | Dr. Emile Allen Powe |
First Address | Albany, NY 12204-1738 |
Second Address | Albany, NY 12204-1738 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00862675 | (05) | NY |
B82664 | (02) | NY |