Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 164425-1 | NY |
NPI | 1043312093 |
---|---|
Provider Name | Dr. Norman O Fiorica |
First Address | Lewiston, NY 14092-2149 |
Second Address | Lewiston, NY 14092-2149 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 02/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01047772 | (05) | NY |
B35926 | (02) | NY |