Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | X011240-1 | NY |
NPI | 1497771828 |
---|---|
Provider Name | Dr. Thomas Barry Skraitz |
First Address | Williamsville, NY 14221-6104 |
Second Address | Williamsville, NY 14221-6104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 14/12/2007 |