Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 052698 | NY |
NPI | 1245340660 |
---|---|
Provider Name | Dr. Julian Kahn Pasco |
First Address | Rochester, NY 14618-5620 |
Second Address | Rochester, NY 14618-5620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/03/2016 |