Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 053497 | NY |
NPI | 1003008285 |
---|---|
Provider Name | Dr. Monie A Clauser |
First Address | Williamsville, NY 14221-3706 |
Second Address | Williamsville, NY 14221-3706 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2007 |
Last Update Date | 13/08/2007 |