Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 009852 | NY |
Y | 103T00000X | Psychologist | 009852 | NY |
NPI | 1013091693 |
---|---|
Provider Name | Dr. Howard H Ferrin |
First Address | Albany, NY 12205-5556 |
Second Address | Albany, NY 12205-5556 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
55539A | (02) |