Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 172835 | NY |
NPI | 1386646230 |
---|---|
Provider Name | Dr. Rita Rose Sloan |
First Address | Williamsville, NY 14221-4836 |
Second Address | West Seneca, NY 14224-3444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 20/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E54587 | (02) | NY |