Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 1820411 | NY |
NPI | 1225015621 |
---|---|
Provider Name | Dr. Nikolaos Botsoglou |
First Address | Cheektowaga, NY 14225-4551 |
Second Address | Cheektowaga, NY 14225-4551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 29/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F75623 | (02) | NY |