Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 160967 | NY |
NPI | 1043296759 |
---|---|
Provider Name | Dr. Steven J Lana |
First Address | Buffalo, NY 14209-1603 |
Second Address | Buffalo, NY 14209-1603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 28/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010098501 | UNIVERA (01) | NY |
005100721 | BLUE CROSS/CB (01) | NY |
00963722 | (05) | NY |
1201690 | INDEPENDENT HEALTH ASSOC (01) | NY |