Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 183508-1 | NY |
Y | 207RI0011X | Interventional Cardiology | 32724 | WI |
NPI | 1073526356 |
---|---|
Provider Name | Dr. Ronald Paul Emerson JR. |
First Address | Orchard Park, NY 14127-1239 |
Second Address | Orchard Park, NY 14127-1239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 09/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010311201 | UNIVERA (01) | NY |
00052489003 | BLUE CROSS (01) | NY |
01690913 | (05) | NY |
2109974 | INDEPENDENT HEALTH (01) | NY |
E88912 | (02) | NY |