Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 165650 | NY |
NPI | 1124277900 |
---|---|
Provider Name | Dr. John Earl Maye |
First Address | Rochester, NY 14621-3125 |
Second Address | Rochester, NY 14621-3125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2008 |
Last Update Date | 16/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A64658 | (02) | NY |