Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 256424-1 | NY |
NPI | 1013169101 |
---|---|
Provider Name | Dr. Sara Lynn Giorgi |
First Address | Utica, NY 13501-6214 |
Second Address | Utica, NY 13501-6214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 19/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03217796 | (05) | NY |
12095842 | CAQH (01) | NY |