Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 249807-1 | NY |
NPI | 1043416365 |
---|---|
Provider Name | Dr. Sukhwinder Singh Kodial |
First Address | Williamsville, NY 14221-5782 |
Second Address | Williamsville, NY 14221-8243 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2007 |
Last Update Date | 20/12/2021 |