Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 107378 | NY |
NPI | 1275632374 |
---|---|
Provider Name | Dr. Pearay L Ogra |
First Address | Amherst, NY 14226-3822 |
Second Address | Buffalo, NY 14222-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 25/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00020520801 | UNIVERA (01) | NY |
000505196002 | BC/BS (01) | NY |
0010974925001 | PAMEDICAID (01) | NY |
00612524 | (05) | NY |
1290558 | IHA (01) | NY |
B71444 | (02) | NY |