Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 199596 | NY |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 599196 | NY |
NPI | 1326075367 |
---|---|
Provider Name | Dr. Lauri Budnick |
First Address | Stony Brook, NY 11790-0989 |
Second Address | East Setauket, NY 11733-4047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 03/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01725722 | (05) | NY |
565C91 | EMPIRE BC.BS (01) | NY |
7390028 | AETNA (01) | NY |
G93061 | (02) | NY |