Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 265715 | NY |
NPI | 1356583124 |
---|---|
Provider Name | Dr. Sean Patrick Brady |
First Address | Williamsville, NY 14221-2698 |
Second Address | Williamsville, NY 14221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2009 |
Last Update Date | 03/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03478677 | (05) | NY |