Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 053575 | NY |
NPI | 1013178011 |
---|---|
Provider Name | Dr. Scott M Farley |
First Address | Buffalo, NY 14204-2212 |
Second Address | Amherst, NY 14226-3404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 23/06/2008 |