Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 251599 | NY |
NPI | 1003058652 |
---|---|
Provider Name | Dr. Joseph Anthony Rini |
First Address | Plattsburgh, NY 12901-1755 |
Second Address | Plattsburgh, NY 12901-1755 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2009 |
Last Update Date | 10/01/2017 |