Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 170207 | NY |
NPI | 1295715514 |
---|---|
Provider Name | Dr. Kathleen M Donovan |
First Address | Amherst, NY 14226-1263 |
Second Address | Amherst, NY 14226-1263 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2006 |
Last Update Date | 26/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01091941 | (05) | NY |
F50935 | (02) | NY |