Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 216133-1 | NY |
NPI | 1023097391 |
---|---|
Provider Name | Dr. Lori E. Ullman |
First Address | Williamsville, NY 14221-4836 |
Second Address | Williamsville, NY 14221-8243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2006 |
Last Update Date | 28/07/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00021015002 | UNIVERA (01) | NY |
000525964002 | HEALTH NOW (01) | NY |
02049232 | (05) | NY |
0310949 | IHA (01) | NY |
070017767 | RR MEDICARE (01) | NY |
161000580 | EMPIRE PLAN (01) | NY |
161000580 | GHI (01) | NY |
161000580 | NORTH AMERICAN PREFERRED (01) | NY |
216133-9B | WORKER'S COMPENSATION (01) | NY |
50128000068 | FIDELIS (01) | NY |
E01928 | (02) | NY |