Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 152140 | CA |
Y | 2086X0206X | Surgical Oncologist | 303976 | NY |
NPI | 1265756753 |
---|---|
Provider Name | Dr. Stuti Tambar |
First Address | Buffalo, NY 14240-0488 |
Second Address | Williamsville, NY 14221-5270 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2010 |
Last Update Date | 30/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
06148049 | (05) | NY |