Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 155405 | NY |
NPI | 1457302366 |
---|---|
Provider Name | Dr. Joseph L Muscarella JR. |
First Address | Williamsville, NY 14221-5263 |
Second Address | Williamsville, NY 14221-5263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 07/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01166178 | (05) | NY |
E39880 | (02) | NY |