Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | X0084311 | NY |
NPI | 1700026408 |
---|---|
Provider Name | Dr. Scott Aaron Croce |
First Address | Buffalo, NY 14202-1669 |
Second Address | Buffalo, NY 14202-1669 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2009 |
Last Update Date | 20/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U64311 | (02) | NY |