Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N005649 | NY |
NPI | 1104925288 |
---|---|
Provider Name | Dr. N Ann Hollenberg |
First Address | Snyder, NY 14226 |
Second Address | Buffalo, NY 14215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02184132 | (05) | NY |
U86649 | (02) | NY |