Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 2891-1 | NY |
NPI | 1013027846 |
---|---|
Provider Name | Dr. Gregory J Adornetto |
First Address | Hamburg, NY 14075-5004 |
Second Address | Hamburg, NY 14075-5004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 06/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010250701 | LIFETIME HEALTH (01) | NY |
000500710001 | BLUECROSS/BLUESHIELD (01) | NY |
00897585 | (05) | NY |
480017299 | RAILROAD MEDICARE (01) | NY |
8905893 | INDEPENDENT HEALTH (01) | NY |
T25940 | (02) | NY |