Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 4301102133 | MI |
Y | 207VE0102X | Reproductive Endocrinologist | 262651 | NY |
N | 207VE0102X | Reproductive Endocrinologist | 4301102133 | MI |
NPI | 1265674782 |
---|---|
Provider Name | Dr. Erica Lynn Bove |
First Address | Loudonville, NY 12211-1961 |
Second Address | Loudonville, NY 12211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2009 |
Last Update Date | 03/03/2021 |