Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 243761 | NY |
N | 111NI0900X | Internist | 243761 | NY |
Y | 207RH0000X | Hematologist | 243761 | NY |
NPI | 1417286501 |
---|---|
Provider Name | Dr. Kristen Marie O'dwyer |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2009 |
Last Update Date | 13/10/2011 |