Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 2007012355 | MO |
N | 2080P0204X | Pediatric Emergency Doctor | 266166 | NY |
NPI | 1073724647 |
---|---|
Provider Name | Dr. Natalia L'vovna Paciorkowski |
First Address | Rochester, NY 14621-3001 |
Second Address | Rochester, NY 14621-3001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 24/08/2016 |