Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 179068 | NY |
NPI | 1003884446 |
---|---|
Provider Name | Dr. James Edward Peppriell |
First Address | East Aurora, NY 14052-1126 |
Second Address | Lewiston, NY 14092 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 17/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01210291 | (05) | NY |
E59350 | (02) |