Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N003878-1 | NY |
N | 213ES0131X | Foot Surgery | N003878-1 | NY |
NPI | 1023170719 |
---|---|
Provider Name | Dr. Joseph Nasca |
First Address | Buffalo, NY 14223-2861 |
Second Address | Buffalo, NY 14223-2861 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2006 |
Last Update Date | 28/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00020074901 | UNIVERA (01) | NY |
000500803001 | COMUNITY BLUE (01) | NY |
00945377 | (05) | NY |
T25877 | (02) | NY |