Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 134538-1 | NY |
Y | 208600000X | Surgeon | 134538-1 | NY |
NPI | 1003854837 |
---|---|
Provider Name | Dr. Patricia A Fox |
First Address | Schenectady, NY 12304-1020 |
Second Address | Schenectady, NY 12304-1020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2006 |
Last Update Date | 20/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00527275 | (05) | NY |
B78688 | (02) | NY |