Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 35-089505 | OH |
Y | 207VE0102X | Reproductive Endocrinologist | 281913 | NY |
N | 207VE0102X | Reproductive Endocrinologist | 35089505 | OH |
NPI | 1538215371 |
---|---|
Provider Name | Dr. Krystene Boyle Dipaola |
First Address | Niagara Falls, NY 14304-1745 |
Second Address | Buffalo, NY 14228-2783 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 12/06/2019 |