Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | 01026292A | IN |
Y | 207RA0201X | Internist - Allergy & Immunology | 193544 | NY |
N | 207RA0201X | Internist - Allergy & Immunology | 21239 | CO |
N | 207RA0201X | Internist - Allergy & Immunology | 2722A | WY |
N | 207RA0201X | Internist - Allergy & Immunology | ME34668 | FL |
NPI | 1164553319 |
---|---|
Provider Name | Dr. Sylvia Kelley Knowlton |
First Address | Alfred Station, NY 14803-0064 |
Second Address | Alfred Station, NY 14803-9794 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D62977 | (02) | FL |