Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | 129057-1 | NY |
NPI | 1083611982 |
---|---|
Provider Name | Dr. James G Conley |
First Address | Pittsburgh, PA 15253-4274 |
Second Address | Buffalo, NY 14203-1126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2005 |
Last Update Date | 03/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00713259 | (05) | NY |
B36119 | (02) | NY |