Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 179915 | NY |
NPI | 1649211798 |
---|---|
Provider Name | Dr. Patricia Galvin-Parton |
First Address | Stony Brook, NY 11790-0989 |
Second Address | Stony Brook, NY 11794-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 25/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01245629 | (05) | NY |
4573806 | AETNA (01) | NY |
47H11 | EMPIRE BC.BS (01) | NY |
E98159 | (02) | NY |